Datasets:

itaylotan

/

previous_cycle_flow_artifacts__dataset

like 0

{'patient': {'bday': '2023-04-13', 'name': 'Barrientos^Bowie', 'breed': 'Labrador Retriever', 'owner': 'Barrientos^Ruby', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'EVS Pet Urgent Care of Reno', 'email': '[email protected]', 'clinician': 'EVS Reno'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P here today for vomiting over the last few days. Left paw has a sore, o noticed friday. Vomiting for 4-5 days. Does not want to eat/drink. Lethargic. Switched food to chicken recently. ', 'questions': 'Abdomen'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'normal', 'source': 'labelling'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}, {'id': 1054, 'state': 'normal', 'source': 'rules'}], 'consult': [{'id': 391, 'state': 'normal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 24.362, 'consult_name': 'Negative - no cause for lameness', 'diagnosis_custom_text': "The cause of the patient's described lameness signs is not identified in the radiographs provided. The study is negative for fractures, luxation or subluxation, and soft tissue swelling. This does not rule out a soft tissue injury or neuropathy at this time.\n", 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend medical management for soft tissue injury and exercise restriction. Connsider sedation and additional views of the region of interest +/- orthopedic consult.', 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2185, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2650, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Left'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [{'id': 32, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Food intolerance'}, {'id': 2324, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Wound'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}, {'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'internal_notes': 'Left paw has a sore, o noticed friday.', 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)"}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': "Conclusions:\nThe study is unremarkable, although gastroenteritis cannot be ruled out. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion should be considered.\nThe cause of the patient's described lameness signs is not identified in the radiographs provided. The study is negative for fractures, luxation or subluxation, and soft tissue swelling. This does not rule out a soft tissue injury or neuropathy at this time.\n\nRecommendations:\nRecommend lab work given emesis of 4-5 days. 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.\nConsider diagnostics for lesion of left paw, and medical management for soft tissue injury and exercise restriction. Connsider sedation and additional views of the region of interest +/- orthopedic consult."}

{'bday': '2023-04-13', 'name': 'Barrientos^Bowie', 'breed': 'Labrador Retriever', 'owner': 'Barrientos^Ruby', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

P here today for vomiting over the last few days. Left paw has a sore, o noticed friday. Vomiting for 4-5 days. Does not want to eat/drink. Lethargic. Switched food to chicken recently.

Abdomen

expert

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

['Lethargic/tired', 'Vomiting', 'Anorexia', 'Lameness', 'Left', 'Canine Medium/Large Breed']

[]

[131, 256, 606, 2185, 2650, 2656]

[]

['Food intolerance', 'Wound']

[]

[32, 2324]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-05-01', 'name': 'Rosales, Arami^Tootsie', 'breed': 'Beagle', 'owner': 'Rosales, Arami', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Medical Center of Austin', 'email': '[email protected]', 'clinician': 'Amy Taylor'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Beagle mix. Pet presented for cyst-like growth on the left perineal area. O reports has been there for "awhile" and has now ruptured. O has been keeping area clean and pet wasn\'t bothered by it. Starting licking at it last night. Otherwise O has no other concerns for pet, doing well at home. \r\nPet is BAR, nervous when in clinic and must be muzzled. Oral cavity not evaluated but when panting MM are pink. Normal eyes and ears. Cardiothoracic auscultation: no murmur or arrhytmia. Normal lung sounds on the right, wheezing in the left mid to caudal lung fields. Abdominal palpation: pet is tense but enlarged liver or spleen noted. The rest abdomen wnl. Pet is painful on extension of both hips, no stifle effusion or lux patella noted. Rectal exam: left anal gland is full but easily expressed w/ normal material. Growth not associated with anal gland. Unable to assess right anal gland due to patient stress/movement. Growth is epidermal and necrotic center. Discussed thoracic/pelvic rads, O okayed. AI diagnosed poss diaphragmatic hernia. Lung and abdominal utlrasound performed. No abdominal contents noted in the thorax bilaterally, normal lung fields/movement. Liver has mottled echotexture and decrease coarseness diffusely. Normal GB. Stomach is small and empty. Spleen, both kidneys, and loops of small intestines noted within abdomen ', 'questions': 'Diaphragmatic herniation reported on AI review. Due to other diagnostics is herniation still more likely than infectious/inflammatory cause for caudal/dorsal lung changed on lateral views? Recommended next diagnostics treatment(s)?? '}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1021, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1024, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'ready', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'empty', 'source': 'labelling'}, {'id': 1037, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', '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': 259, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Esoph - DHA (HIA), Hiatal hernia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 379, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 133, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Licking bum/back end'}, {'id': 582, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Perianal Mass/swelling '}, {'id': 629, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - musculoskeletal'}, {'id': 2186, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2456, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Wheezing'}, {'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': 19, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['caudally positioned']}}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The liver appears mildly enlarged. ', 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is evidence of partial herniation of the stomach into the thoracic cavity. This is evident on the lateral views as a soft tissue opacity at the caudodorsal thorax with gas opacities noted within this soft tissue opacity on some images; on the VD it is noted as a circular soft tissue opacity overlapping the diaphragm at the midline.', 'elapsedTime': 243.32, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 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': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [{'id': 1635, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hernia - diaphragmatic'}, {'id': 2468, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'cyst'}], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}], 'internal_notes': 'timing out', 'recommendations': [{'id': 2177, 'state': 'abnormal', 'source': 'ai', 'recommendation_name': 'Diaphragmatic hernia-c'}], 'report_findings': 'Thorax\nThere is evidence of partial herniation of the stomach into the thoracic cavity. This is evident on the lateral views as a soft tissue opacity at the caudodorsal thorax with gas opacities noted within this soft tissue opacity on some images; on the VD it is noted as a circular soft tissue opacity overlapping the diaphragm at the midline. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears mildly enlarged. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are degenerative changes noted in the caudally positioned shoulder. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nThe radiographic changes are indicative of a hiatal hernia.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nDegenerative changes in the shoulder.\n\nRecommendations:\nTreatment for a hiatal hernia is generally aimed at controlling signs of gastroesophageal reflux and/or esophagitis where indicated.\nGiven the history, this is an incidental finding.\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 the degenerative changes in the shoulder.'}

{'bday': '2012-05-01', 'name': 'Rosales, Arami^Tootsie', 'breed': 'Beagle', 'owner': 'Rosales, Arami', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Animal Medical Center of Austin', 'email': '[email protected]', 'clinician': 'Amy Taylor'}

Beagle mix. Pet presented for cyst-like growth on the left perineal area. O reports has been there for "awhile" and has now ruptured. O has been keeping area clean and pet wasn't bothered by it. Starting licking at it last night. Otherwise O has no other concerns for pet, doing well at home. Pet is BAR, nervous when in clinic and must be muzzled. Oral cavity not evaluated but when panting MM are pink. Normal eyes and ears. Cardiothoracic auscultation: no murmur or arrhytmia. Normal lung sounds on the right, wheezing in the left mid to caudal lung fields. Abdominal palpation: pet is tense but enlarged liver or spleen noted. The rest abdomen wnl. Pet is painful on extension of both hips, no stifle effusion or lux patella noted. Rectal exam: left anal gland is full but easily expressed w/ normal material. Growth not associated with anal gland. Unable to assess right anal gland due to patient stress/movement. Growth is epidermal and necrotic center. Discussed thoracic/pelvic rads, O okayed. AI diagnosed poss diaphragmatic hernia. Lung and abdominal utlrasound performed. No abdominal contents noted in the thorax bilaterally, normal lung fields/movement. Liver has mottled echotexture and decrease coarseness diffusely. Normal GB. Stomach is small and empty. Spleen, both kidneys, and loops of small intestines noted within abdomen

Diaphragmatic herniation reported on AI review. Due to other diagnostics is herniation still more likely than infectious/inflammatory cause for caudal/dorsal lung changed on lateral views? Recommended next diagnostics treatment(s)??

standard

['Musculoskeletal-area']

['Licking bum/back end', 'Mass/swelling - perianal', 'Pain - musculoskeletal', 'Pain', 'Wheezing', 'Canine Small Breed']

[]

[133, 582, 629, 2186, 2456, 2654]

[]

['Hernia - diaphragmatic', 'Cyst']

[]

[1635, 2468]

[]

['Diaphragmatic hernia C']

[]

[2177]

[]

{'patient': {'bday': '2014-06-12', 'name': 'Jacob^Kratos', 'breed': 'Australian Shepherd', 'owner': 'Jacob^Kaydrian', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Embrace Wellness Animal Clinic', 'email': '[email protected]', 'clinician': 'Embracewellness'}, 'accept_tos': 'true', 'consult_info': {'case_info': '9 yr 7 month Australian Shephard presenting for recurrent worsening cough, was treated empirically for kennel cough with doxycycline and saw mild improvement, cough returned after completion of antibiotics. For the past 48 hours, patient is unable to keep down any food, and has a decreased appetite. On physical exam, enlarged laryngeal region with poorly defined subcutaneous mass like structure ventral to jaw. Bilaterally enlarged mandibular lymph nodes. Mild decrease in energy. ', 'questions': 'Coughing, vomiting, possible laryngeal mass'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 247, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'No cause of GI signs', 'custom_fields': None}, {'id': 266, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Cardiomegaly - Normal LAE, asymptomatic', 'custom_fields': None}, {'id': 295, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': '* Bronchial pattern consistent with bronchitis. Considerations to allergic bronchitis, chronic bacterial bronchitis, exposure to a respiratory irritant, heartworm disease, lung worm infection, fungal pneumonia and other inflammatory condition should be given in decreasing order of likelihood. Dynamic airway collapse cannot be ruled out. \n - Therapy for bronchitis is recommended at this time. For further evaluation endoscopic evaluation, lower airway sampling and a respiratory PCR could be considered if the patient does not respond to medical management. ', 'consult_name': 'Canine bronchitis', 'custom_fields': None}, {'id': 406, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': '* Soft tissue swelling associated with the mandible and laryngeal region. No pathology observed in the associated bony structures. Differentials include cellulitis, dermatitis, or less likely neoplastic disease. The larynx and associated soft tissue appears within normal limits. \n - Correlate with physical exam findings. Medical management is recommended. If the patient does not respond medical management tissue sampling could be considered.', 'elapsedTime': 26.057, 'consult_name': 'Soft tissue swelling', 'custom_fields': None}], 'signals': [{'id': 57, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': "Can't keep food down"}, {'id': 69, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 576, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lymphadenomegaly'}, {'id': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'A mild bronchial pattern is present. ', 'signal_name': 'lung-pulmonary-pattern', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is soft tissue swelling involving the larynx and mandible. ', 'elapsedTime': 19.965, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2286, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'colon-distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [{'id': 2065, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Mass lesion - laryngeal'}], 'questions': [], 'recommendations': [{'id': 961, 'source': 'labelling', 'recommendation_name': 'Antibiotic'}], 'report_findings': 'Thorax\nThe heart appears to be enlarged. A mild bronchial pattern is present. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is soft tissue swelling involving the larynx and mandible. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling'}], 'report_conclusions': '* Bronchial pattern consistent with bronchitis. Considerations to allergic bronchitis, chronic bacterial bronchitis, exposure to a respiratory irritant, heartworm disease, lung worm infection, fungal pneumonia and other inflammatory condition should be given in decreasing order of likelihood. Dynamic airway collapse cannot be ruled out. \n - Therapy for bronchitis is recommended at this time. For further evaluation endoscopic evaluation, lower airway sampling and a respiratory PCR could be considered if the patient does not respond to medical management. \n* The study is most compatible with gastroenteritis. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, hemorrhagic gastroenteritis and dietary indiscretion should be considered.\n - Recommend supportive care. Consider lab testing for pancreatitis. Depending on lab results, follow-up imaging, abdominal ultrasound may also be helpful.\n* The cardiac silhouette appears enlarged, with no evidence of left atrial enlargement and no evidence of decompensation.\n - An echocardiogram or radiographic monitoring every 9 to 12 months could be considered for further evaluation. Consultation with a cardiologist could be considered for medication recommendations.\n* Soft tissue swelling associated with the mandible and laryngeal region. No pathology observed in the associated bony structures. Differentials include cellulitis, dermatitis, or less likely neoplastic disease. The larynx and associated soft tissue appears within normal limits. \n - Correlate with physical exam findings. Medical management is recommended. If the patient does not respond medical management tissue sampling could be considered.'}

{'bday': '2014-06-12', 'name': 'Jacob^Kratos', 'breed': 'Australian Shepherd', 'owner': 'Jacob^Kaydrian', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

{'name': 'Embrace Wellness Animal Clinic', 'email': '[email protected]', 'clinician': 'Embracewellness'}

9 yr 7 month Australian Shephard presenting for recurrent worsening cough, was treated empirically for kennel cough with doxycycline and saw mild improvement, cough returned after completion of antibiotics. For the past 48 hours, patient is unable to keep down any food, and has a decreased appetite. On physical exam, enlarged laryngeal region with poorly defined subcutaneous mass like structure ventral to jaw. Bilaterally enlarged mandibular lymph nodes. Mild decrease in energy.

Coughing, vomiting, possible laryngeal mass

expert

[]

['Regurgitating', 'Coughing', 'Lethargic/tired', 'Vomiting', 'swollen lymphnodes', 'Hyporexia']

[]

[57, 69, 131, 256, 576, 607]

[]

['Mass lesion - laryngeal']

[]

[2065]

[]

[]

['Antibiotic']

[]

[961]

{'patient': {'bday': '2018-01-15', 'name': 'Hoxworth^MISTY', 'breed': 'Mix', 'owner': 'Hoxworth^Steven', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pt presents lethargic and pale. Was tied up with a male last week. Hct 12%, saline agglutination positive, 4dx neg, ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'Hepatomegaly- benign', 'custom_fields': None}, {'id': 263, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': '* A cause for the clinical signs and anemia described could not be determined from the images provided. \n - Consider further work up including abdominal ultrasound and urinalysis. Consider IMHA based on history. ', 'consult_name': 'No cause for weight loss, decreased appetite', 'custom_fields': None}, {'id': 349, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': '* The gas distension observed in the GI tract is most consistent with aerophagia.', 'elapsedTime': 22.072, 'consult_name': 'Aerophagia', 'custom_fields': None}], 'signals': [{'id': 111, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gums pale/white'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 2355, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'heartworm'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2315, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': None}], 'diagnosis': [{'id': 659, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Anaemia'}, {'id': 1058, 'state': 'normal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Parasite infestation - Ehrlichiosis'}], 'questions': [{'id': 2509, 'source': 'labelling', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2517, 'source': 'labelling', 'signal_name': 'splenic-area'}], 'recommendations': [{'id': 1385, 'source': 'labelling', 'recommendation_name': 'lyme-testing'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears enlarged. There is distension of the stomach with gas. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}], 'report_conclusions': '* A cause for the clinical signs and anemia described could not be determined from the images provided. \n - Consider further work up including abdominal ultrasound and urinalysis. Consider IMHA based on history. \n* Hepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out. \n - Correlate with blood work for clinical significance. Consider abdominal ultrasound for further investigation.\n* The gas distension observed in the GI tract is most consistent with aerophagia.'}

{'bday': '2018-01-15', 'name': 'Hoxworth^MISTY', 'breed': 'Mix', 'owner': 'Hoxworth^Steven', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

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

Pt presents lethargic and pale. Was tied up with a male last week. Hct 12%, saline agglutination positive, 4dx neg,

expert

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

['Gums pale/white', 'Lethargic/tired']

['heartworm']

[111, 131]

[2355]

['Anemia']

['Parasite infestation - Ehrlichiosis']

[659]

[1058]

[]

['Lyme disease testing']

[]

[1385]

{'patient': {'bday': '2023-08-25', 'name': 'Haser^Teddy', 'breed': 'SHIH TZU, MIX', 'owner': 'Haser^Angelina Luba', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Town & Country Animal Hospital in Miami', 'email': '[email protected]', 'clinician': 'Tcah Vets'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'HX: here today f/u for limping starting 4 days ago. O stated P has not improved, P limps more when he wakes up in the mornings or after periods of rest. \r\nGeneral appearance: Bright, alert, and responsive. Euhydrated. BCS 5/9.\r\nOcular: Clear OU with normal PLRs.\r\nOral: Negative oral exam. No periodontal disease. Pink and wet mucous membranes. CRT < 2”.\r\nAural: Clear AU.\r\nPLN: Soft and symmetrical. Normal in size and non-painful.\r\nCardiovascular: No heart murmur or arrhythmia noted on auscultation. Strong synchronous femoral pulses. Well-perfused with warm distal extremities.\r\nRespiratory: Referred upper airway sounds. Unremarkable tracheal and pulmonary auscultation. Eupneic.\r\nAbdomen: Soft, not painful nor distended. No masses felt on palpation. No fluid wave present.\r\nMusculoskeletal: MCS 3/5. Ambulatory x 4. Lameness noted right front leg. Normal palpation rear limbs. Crepitus felt on palpation of right metatarsal joint, pain and discomfort noted\r\nIntegumentary: Healthy hair coat. No ectoparasites. Clean, dry, and intact skin.\r\nUrogenital: intact male. Normal-sized, descended testes. No preputial discharge.\r\nRectal: No significant findings.\r\nNeural: Appropriate mentation. Normal posture and gait. Intact cranial nerves. Normal proprioception in all limbs. No pain elicited on palpation of cervical and thoracolumbar regions.\r\nr/o fracture vs soft tissue injury\r\nPlan:\r\n1. X-rays with consult\r\n2. Carprofen 50 mg/ml: Give 0.5 ml SQ\r\n3. Carprofen 25 mg: Give 1/2 tab PO BID starting tomorrow afternoon.\r\n', 'questions': ''}}

{'tags': {'userTags': ['unacceptable'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 747, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'M/S GEN - HOD vs Panosteitis, lame/pain, juv', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2177, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Arrhythmia'}, {'id': 2185, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2463, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart murmur'}, {'id': 2470, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lung sounds'}], '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': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2446, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}], 'internal_notes': 'Juvenile- consideration given to HOD vs Panosteitis without radiographic changes; M/S GEN - HOD vs Panosteitis, lame/pain, juv', 'recommendations': [{'id': 2040, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'femoral-pulse-aortic-c'}], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'palate-canals'}, {'id': 2307, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'tympanic-bulla'}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses'}, {'id': 2309, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'nasal-cavity'}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-fracture'}, {'id': 2311, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-abl'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Bone Lucency'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}], 'report_conclusions': 'Conclusions:\nNo bony changes are apparent in the current radiographs. Given the history and clinical signs, consideration should be given to developmental disorders including hypertrophic osteodystrophy or panosteitis. Radiographic changes may not be apparent early on in the disease process.\n\nRecommendations:\nRecommend analgesics and exercise restriction in addition to ensuring appropriate nutrition. Consider follow up radiographs to monitor the progression of radiographic changes of the affected bone(s).'}

{'bday': '2023-08-25', 'name': 'Haser^Teddy', 'breed': 'SHIH TZU, MIX', 'owner': 'Haser^Angelina Luba', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

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

HX: here today f/u for limping starting 4 days ago. O stated P has not improved, P limps more when he wakes up in the mornings or after periods of rest. General appearance: Bright, alert, and responsive. Euhydrated. BCS 5/9. Ocular: Clear OU with normal PLRs. Oral: Negative oral exam. No periodontal disease. Pink and wet mucous membranes. CRT < 2”. Aural: Clear AU. PLN: Soft and symmetrical. Normal in size and non-painful. Cardiovascular: No heart murmur or arrhythmia noted on auscultation. Strong synchronous femoral pulses. Well-perfused with warm distal extremities. Respiratory: Referred upper airway sounds. Unremarkable tracheal and pulmonary auscultation. Eupneic. Abdomen: Soft, not painful nor distended. No masses felt on palpation. No fluid wave present. Musculoskeletal: MCS 3/5. Ambulatory x 4. Lameness noted right front leg. Normal palpation rear limbs. Crepitus felt on palpation of right metatarsal joint, pain and discomfort noted Integumentary: Healthy hair coat. No ectoparasites. Clean, dry, and intact skin. Urogenital: intact male. Normal-sized, descended testes. No preputial discharge. Rectal: No significant findings. Neural: Appropriate mentation. Normal posture and gait. Intact cranial nerves. Normal proprioception in all limbs. No pain elicited on palpation of cervical and thoracolumbar regions. r/o fracture vs soft tissue injury Plan: 1. X-rays with consult 2. Carprofen 50 mg/ml: Give 0.5 ml SQ 3. Carprofen 25 mg: Give 1/2 tab PO BID starting tomorrow afternoon.

expert

['Musculoskeletal-area']

['Lameness']

['Arrhythmia', 'Heart murmur', 'Lung sounds']

[2185]

[2177, 2463, 2470]

[]

[]

[]

[]

['femoral pulse compare']

[]

[2040]

[]

{'patient': {'bday': '2018-12-29', 'name': 'JOGNSON^LOLLY^^^', 'breed': 'mix', 'owner': 'jameca', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Affordable Pet Clinic, Katy', 'email': '[email protected]', 'clinician': 'Affordable Pet Clinic Katy'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'pt presented yesterday with vomiting 10x over night. After xray yesterday noticed gastric material o states pt eats stuffing from er toys sometimes\r\nfasted yesterday and o stated no voimiting after leaving vet yesterday. repeated xray this morning to ensure to foreign body.', 'questions': 'possible foreign body '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 247, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* The study is most compatible with gastroenteritis. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, hemorrhagic gastroenteritis and dietary indiscretion should be considered.\n - Supportive care is recommended. Consider lab testing for pancreatitis. Consider abdominal ultrasound to rule out intestinal foreign body.', 'consult_name': 'Intestines - Normal, no cause for GI signs', 'custom_fields': None}, {'id': 723, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'Gastric - follow up, empty', 'custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 516, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Dietary indiscretion - other'}, {'id': 1636, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'gastric-material'}, {'id': 2181, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Acute-Vomiting-c'}, {'id': 2356, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'fasted'}], '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': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2286, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'colon-distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [{'id': 612, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Foreign body'}], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'internal_notes': 'Acceptable as is but could have added code for "fasted\'\'', 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}], 'report_conclusions': '* Comparing to previous images, the material noted in the stomach appears to have passed. \n - Medical management of the reported gastrointestinal signs is indicated at this time.\n* The study is most compatible with gastroenteritis. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, hemorrhagic gastroenteritis and dietary indiscretion should be considered.\n - Supportive care is recommended. Consider lab testing for pancreatitis. Consider abdominal ultrasound to rule out intestinal foreign body.'}

{'bday': '2018-12-29', 'name': 'JOGNSON^LOLLY^^^', 'breed': 'mix', 'owner': 'jameca', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

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

pt presented yesterday with vomiting 10x over night. After xray yesterday noticed gastric material o states pt eats stuffing from er toys sometimes fasted yesterday and o stated no voimiting after leaving vet yesterday. repeated xray this morning to ensure to foreign body.

possible foreign body

expert

['Gastrointestinal-area']

['Vomiting', 'Dietary indiscretion - other', 'Gastric Material', 'Acute vomiting', 'Fasted']

[]

[256, 516, 1636, 2181, 2356]

[]

['Foreign body']

[]

[612]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-05-07', 'name': 'Golus^Rosie', 'breed': 'DSH', 'owner': 'Golus^Paula', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Gold Canal Veterinary Urgent Care', 'email': '[email protected]', 'clinician': 'DaRosa'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Vomiting since Sunday, unable to keep food/water down.\r\n\r\nPhysical Findings\r\nBAR, ~5% dehydrated, soft non-painful abdomen (but also very nervous). Otherwise unremarkable PE', 'questions': 'N/A'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'normal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 610, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mentation altered - anxious/distressed'}, {'id': 622, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Pain - abdominal'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2468, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'BAR - Bright Alert Responsive'}, {'id': 2482, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'dehydration'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2290, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-foreign-body', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach. There is an accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2290, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-foreign-body'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': "Conclusions:\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.\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\nSpondylosis deformans. Likely incidental.\nMild fecal retention. Rule out constipation.\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 information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.\nCorrelate with clinical history to rule out constipation."}

{'bday': '2024-05-07', 'name': 'Golus^Rosie', 'breed': 'DSH', 'owner': 'Golus^Paula', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Gold Canal Veterinary Urgent Care', 'email': '[email protected]', 'clinician': 'DaRosa'}

Vomiting since Sunday, unable to keep food/water down. Physical Findings BAR, ~5% dehydrated, soft non-painful abdomen (but also very nervous). Otherwise unremarkable PE

standard

['Gastrointestinal-area']

['Vomiting', 'Mentation altered - anxious/distressed', 'Feline', 'Bright Alert Responsive (BAR)', 'Dehydration']

['Pain - abdominal']

[256, 610, 2327, 2468, 2482]

[622]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-04-03', 'name': 'Perkins-Sanchez^Charlie', 'breed': 'Doberman Pinscher', 'owner': 'Perkins-Sanchez^Antonio', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Lytle Veterinary Clinic', 'email': '[email protected]', 'clinician': 'Lytle Veterinary Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet is an 11-year-old SF Doberman with no history of coughing or heart murmur. On the pre-pre-op exam for a scheduled upcoming dental with extractions, a left-sided systolic Grade 1-2/6 murmur was detected. Femoral pulses were synchronous and palpable. No other concerns on the exam. ', 'questions': 'Diff dx- mitral valve disease, cardiomyopathy, other valvular disease'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 270, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiac - pre-op, heart murmer', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Coughing'}, {'id': 2328, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'pre-op'}, {'id': 2463, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Heart murmur'}], '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': 787, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2509, 'source': 'labelling', 'signal_name': 'cardiovascular-area'}], 'internal_notes': 'Wrong consult code- pre op case therefore pre-op code should have been used', 'recommendations': [{'id': 1041, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'oral-exam'}, {'id': 2040, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'femoral-pulse-aortic-c'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}], 'report_conclusions': 'Conclusions:\nThe cardiovascular structures appear normal. This does not rule out valvular disease.\n\nRecommendations:\nNo specific contraindications for general anesthesia noted in this study.'}

{'bday': '2012-04-03', 'name': 'Perkins-Sanchez^Charlie', 'breed': 'Doberman Pinscher', 'owner': 'Perkins-Sanchez^Antonio', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': 'Lytle Veterinary Clinic', 'email': '[email protected]', 'clinician': 'Lytle Veterinary Clinic'}

Pet is an 11-year-old SF Doberman with no history of coughing or heart murmur. On the pre-pre-op exam for a scheduled upcoming dental with extractions, a left-sided systolic Grade 1-2/6 murmur was detected. Femoral pulses were synchronous and palpable. No other concerns on the exam.

Diff dx- mitral valve disease, cardiomyopathy, other valvular disease

expert

['cardiovascular-area']

['Pre-op', 'Heart murmur']

['Coughing']

[2328, 2463]

[69]

[]

[]

[]

[]

['Oral exam', 'femoral pulse compare']

[]

[1041, 2040]

[]

{'patient': {'bday': '2023-09-10', 'name': 'BALK^JAEGER', 'breed': 'SIBERIAN HUSKY', 'owner': 'BALK', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'clinician': 'Dr. Sureni Beckford '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for lethargy, hacking cough, and hyporexia. Cough was first noted on 5/9. Was at a dog park a week ago and daycare recently. UTD on vaccines/prevention. Has been having loose stools recently. Sneezing and clear nasal discharge noted at home.SPO2 96% room air. T 103.4, P 120, R panting, QAR, H - no murmurs/arrhythmias FPSS. L- mild increased BVSx4. abdomen wnl, integ wnl, rectal soft stool,EENt- hacking induced on tracheal palpation. No nasal discharge appreciated. rest WNL. ', 'questions': 'evidenc of pneumonia? '}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1021, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'partial', 'source': 'labelling'}, {'id': 1033, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 218, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/ lethargy', 'diagnosis_custom_text': "The cause of the patient's described lethargy is not identified in the radiographs provided.", 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 253, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 12.178, 'consult_name': 'Colon - hematochezia/diarroea, normal gut', 'diagnosis_custom_text': 'A cause for the described loose stool is not determined from the radiographs. Given the history, colitis due to dietary indiscretion, stress, parasite, hemorrhagic diarrhea syndrome or other cause should be considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider fecal testing for further investigation of the reported clinical signs. Medical management is indicated at this time.', 'recommendation_custom_fields': None}, {'id': 304, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Upper - normal thorax & trachea, upper airway disease likely', 'diagnosis_custom_text': 'A lower respiratory etiology for the coughing is not determined during this evaluation, the results of which are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, masses. Given the history, an upper airway etiology is considered likely.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 150, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nose discharge/Nasal discharge'}, {'id': 177, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 195, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Quiet'}, {'id': 230, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Sneezing'}, {'id': 520, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Faecal appearance abnormal - other'}, {'id': 545, 'source': 'labelling', 'history': True, 'confidence': 2, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2175, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'Heart-Murmur'}], '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': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2509, 'source': 'labelling', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}], 'internal_notes': 'undefined\nThis case was automatically escalated by the system due to reservervation timeout in the stat codes channel.', 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'palate-canals'}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses'}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-fracture'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'laryngeal-opacity'}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Larynx-mineralization'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing'}], 'report_conclusions': "Conclusions:\nA lower respiratory etiology for the coughing is not determined during this evaluation, the results of which are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, masses. Given the history, an upper airway etiology is considered likely.\nA cause for the described loose stool is not determined from the radiographs. Given the history, colitis due to dietary indiscretion, stress, parasite, hemorrhagic diarrhea syndrome or other cause should be considered.\nThe cause of the patient's described lethargy is not identified in the radiographs provided.\n\nRecommendations:\nA more detailed upper airway exam and/or additional images of the skull may be useful for further investigation of the reported clinical signs.\nConsider fecal testing for further investigation of the reported clinical signs. Medical management is indicated at this time.\nCorrelate with a minimum database including blood work and urinalysis. Further historical context and/or follow up evaluation may be indicated. Re-evaluation of radiographs in time or ultrasound may also be indicated to further investigate the reported non-specific signs."}

{'bday': '2023-09-10', 'name': 'BALK^JAEGER', 'breed': 'SIBERIAN HUSKY', 'owner': 'BALK', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'clinician': 'Dr. Sureni Beckford '}

Presented for lethargy, hacking cough, and hyporexia. Cough was first noted on 5/9. Was at a dog park a week ago and daycare recently. UTD on vaccines/prevention. Has been having loose stools recently. Sneezing and clear nasal discharge noted at home.SPO2 96% room air. T 103.4, P 120, R panting, QAR, H - no murmurs/arrhythmias FPSS. L- mild increased BVSx4. abdomen wnl, integ wnl, rectal soft stool,EENt- hacking induced on tracheal palpation. No nasal discharge appreciated. rest WNL.

evidenc of pneumonia?

standard

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

['Coughing', 'Lethargic/tired', 'Panting', 'Quiet', 'Sneezing', 'abnormal fecal appearance', 'Fever/pyrexia', 'Hyporexia']

['Discharge - nasal', 'Heart Murmur']

[69, 131, 177, 195, 230, 520, 545, 607]

[150, 2175]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-01-11', 'name': 'Hendrix^OLIVE', 'breed': 'dachshund', 'owner': 'Hendrix, Jason', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': '1', 'consult_info': {'case_info': 'P presented for straining to urinate since last night, and urinating small amounts with blood. P also exhibiting redness and crust in her right eye. No prior history of urinary issues or other major medical concerns. UTD vaccines and prevention. No c/s/v/d. ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 420, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'Normal urinary tract', 'custom_fields': None}, {'id': 432, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* The opacity noted overlying the renal silhouette is thought to be secondary to summation or within soft tissue surrounding the kidney rather than renal mineralization.', 'elapsedTime': 3.963, 'consult_name': 'False positive renal mineralization', 'custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Diarrhea-c'}, {'id': 200, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Red eye'}, {'id': 230, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sneezing'}, {'id': 244, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Straining to urinate'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 638, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Discharge - ocular (eye)'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'kidney-mineralization', 'custom_fields': {'___s1_': ['left']}}, {'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': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}], 'diagnosis': [{'id': 2192, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Haematuria'}], 'questions': [{'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}], 'recommendations': [], 'report_findings': 'Abdomen\n* The liver is unremarkable. \n* The spleen is normal in size and contour. \n* The stomach is empty. \n* The small intestines appear within normal limits. \n* There is no evidence of a mass or mass effect within the abdomen. \n* The serosal detail of the abdomen is normal. \n* There is increased opacity noted over the silhouette of the left kidney. \n* The urinary bladder is within normal limits. \n\nMusculoskeletal\n* No appendicular fractures are noted. \n* No aggressive osseous lesions identified. \n* The spine is radiographically normal. \n* No significant intervertebral disc space narrowing is identified.', 'additionalSignals': [{'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}], 'report_conclusions': "* The cause for the patient's urinary issues are not noted.\n - Correlation with biochemistry profile, urinalysis, +/- urine culture is recommended. An abdominal ultrasound could be considered as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps.\n* The opacity noted overlying the renal silhouette is thought to be secondary to summation or within soft tissue surrounding the kidney rather than renal mineralization."}

{'bday': '2023-01-11', 'name': 'Hendrix^OLIVE', 'breed': 'dachshund', 'owner': 'Hendrix, Jason', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

P presented for straining to urinate since last night, and urinating small amounts with blood. P also exhibiting redness and crust in her right eye. No prior history of urinary issues or other major medical concerns. UTD vaccines and prevention. No c/s/v/d.

expert

['urinary-area']

['Inflammation - ocular (eye)', 'Straining to urinate/Stranguria', 'Discharge - ocular (eye)']

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

[200, 244, 638]

[76, 230, 256]

['Haematuria']

[]

[2192]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-12-07', 'name': 'ASHER^SNOOPY', 'breed': 'Dachshund', 'owner': 'ASHER^', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Happy Tails Animal Hospital (Marietta, GA)', 'email': '[email protected]', 'clinician': 'Happy Tails Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet has an 2 inch wide hard mass on left hip area. O noticed it few days back. Bloodwork wnl. Pet acting ok. Cytology indicated a concern for mesenchymal tumor. ', 'questions': 'Clear fro anesthesia ? Metastasis ?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 192, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hepatic - Small', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'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': 465, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - No pulmonary mets, primary already identified', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2386, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'met-check'}, {'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': 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': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': {'___s1_': ['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': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The liver appears small with the gastric axis slightly displaced cranially. ', 'elapsedTime': 4.049, 'signal_name': 'small-liver', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 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': 1159, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Mass lesion - limb, upper'}], 'questions': [{'id': 2520, 'source': 'labelling', 'signal_name': 'screening-area'}, {'id': 2521, 'source': 'labelling', 'signal_name': 'Neoplasia-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears small with the gastric axis displaced cranially. There is radiopaque material within the stomach. The colon is full of fecal material. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}], 'report_conclusions': 'Conclusions:\nNo evidence of pulmonary metastatic disease.\nThe liver appears small. This may be secondary to conformation but cirrhosis or vascular anomaly cannot be ruled out.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nFor further investigation of the extent of the primary mass, consider ultrasound of regional lymph nodes and abdomen with FNA sampling with cytology if indicated by results.\nConsider abdominal ultrasound and biochemical profile with possible bile acids testing to confirm adequate hepatic function of the small liver.'}

{'bday': '2015-12-07', 'name': 'ASHER^SNOOPY', 'breed': 'Dachshund', 'owner': 'ASHER^', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Happy Tails Animal Hospital (Marietta, GA)', 'email': '[email protected]', 'clinician': 'Happy Tails Animal Hospital'}

Pet has an 2 inch wide hard mass on left hip area. O noticed it few days back. Bloodwork wnl. Pet acting ok. Cytology indicated a concern for mesenchymal tumor.

Clear fro anesthesia ? Metastasis ?

expert

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

['Metastasis check', 'Canine Small Breed']

[]

[2386, 2654]

[]

['Mass lesion - limb, upper']

[]

[1159]

[]

[]

[]

[]

[]

{'patient': {'bday': '2007-02-09', 'name': 'Palumbo^TOM', 'breed': 'DSH', 'owner': 'Palumbo^Kathy', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presented for walking sideways today. Other than that acting normal. P was weak on hind end during exam', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'Spine - TID/CID with spondylosis', 'custom_fields': None}, {'id': 432, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Renal - RMN, fp', 'custom_fields': None}, {'id': 456, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'Spine - LS degeneration, neuro signs (pain, lame, incontinent, reluctance to stand)', 'custom_fields': None}], 'signals': [{'id': 283, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Abnormal gait'}, {'id': 601, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gait abnormality - ataxia'}, {'id': 2344, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'paresis-pelvic'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic', 'lumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 699, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'kidney-mineralization', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L7-S1', 'L1-L2', 'T13-L1']}}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is increased opacity noted over the silhouette of the ___s1_ kidney. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at L7-S1, L1-L2, T13-L1. There is spondylosis deformans noted in the thoracic, lumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}], 'report_conclusions': '* Lumbosacral degeneration. The described neurologic signs are suspected to be secondary to degeneration and stenosis in this region. \n - Consider conservative management for lumbosacral degeneration based on clinical signs. MRI or CT scan may be helpful for a definitive diagnosis. \n* Presence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration. \n - Correlate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.\n* The opacity noted overlying the renal silhouette is thought to be secondary to summation or within soft tissue surrounding the kidney rather than renal mineralization.\n - Consider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for renal mineralization.'}

{'bday': '2007-02-09', 'name': 'Palumbo^TOM', 'breed': 'DSH', 'owner': 'Palumbo^Kathy', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': 'null'}

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

P presented for walking sideways today. Other than that acting normal. P was weak on hind end during exam

expert

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

['Abnormal gait', 'Gait abnormality - ataxia', 'Pelvic limb paresis']

[]

[283, 601, 2344]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-04-01', 'name': 'Ravelo^Luna', 'breed': 'French Bulldog', 'owner': 'Ravelo', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Tell Tail Moonlight Veterinary Urgent Care', 'email': '[email protected]', 'clinician': 'Moonlight Vet'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Luna presented today because she was toe touching to non weight bearing on her right pelvic limb. Her family states that she has a history of IVDD with was diagnosed in May, 2023. Her symptoms in 2023 resolved with rest. In 2023 she also was having difficulty walking on her right hind limb. \r\n\r\nOn presentation today she was toe touching on her right hind limb. No back pain or CP deficits. She had a grade 3 to 4 MPL on her right patella. She was sedated for orthopedic exam and radiographs. Her sedated orthopedic exam did not show any stifle instability but the grade 3 to 4 MPL was noted. ', 'questions': 'MPL Right Stifle Evident. Are these radiographs consistent with a partial or complete CCL injury. Any other significant findings noted?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1032, 'state': 'empty', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1041, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 361, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hindlimb Stifle - lameness, patella luxation, arthritis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 234, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Ocular pain'}, {'id': 2345, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2545, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbosacral']}}, {'id': 10, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['left and 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': 764, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 870, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2252, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': {'___s1_': ['medial'], '___s2_': ['right']}}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [{'id': 1541, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Patellar luxation'}], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbosacral spine. There is medial patellar luxation noted in the right knee. There is 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. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'patellar-luxation'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': 'Conclusions:\nPatellar luxation with signs of stifle arthritis and effusion. Arthritic changes and joint effusion are likely secondary to intracapsular pathology such as cruciate ligament injury or the noted patellar luxation.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nClose palpation for a partial or complete cranial cruciate ligament tear in the stifle joints is recommended - this cannot be determined radiographically. Intracapsular effusion is an uncommon but possible sequela of patellar luxation. Surgery to stabilize the patella may be indicated if no other source of lameness is identified and signs cannot be medically managed.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2019-04-01', 'name': 'Ravelo^Luna', 'breed': 'French Bulldog', 'owner': 'Ravelo', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Tell Tail Moonlight Veterinary Urgent Care', 'email': '[email protected]', 'clinician': 'Moonlight Vet'}

Luna presented today because she was toe touching to non weight bearing on her right pelvic limb. Her family states that she has a history of IVDD with was diagnosed in May, 2023. Her symptoms in 2023 resolved with rest. In 2023 she also was having difficulty walking on her right hind limb. On presentation today she was toe touching on her right hind limb. No back pain or CP deficits. She had a grade 3 to 4 MPL on her right patella. She was sedated for orthopedic exam and radiographs. Her sedated orthopedic exam did not show any stifle instability but the grade 3 to 4 MPL was noted.

MPL Right Stifle Evident. Are these radiographs consistent with a partial or complete CCL injury. Any other significant findings noted?

expert

['Musculoskeletal-area']

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

['Ocular pain ']

[2345, 2545]

[234]

['Patellar luxation']

[]

[1541]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-01-13', 'name': 'Chico', 'breed': 'Maltipoo', 'owner': 'Arnold Baca', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Roadrunner Veterinary Emergency & Specialty Hospital', 'email': '[email protected]', 'clinician': 'Dr. Phaybouth'}, 'accept_tos': '1', 'consult_info': {'case_info': 'O said pt has been lethargic and not eating for 3 days. has been drinking h2o but not as normal. O thinks pt has had labored breathing. no diet change, o concerned someone might have given dog something since it is outside and barks at ppl. No vomiting noticed but diarrhea present. \r\n\r\nMild anemia, PLT 30, TP 9.\r\n\r\nPossible abdominal mass on palpation\r\nMM pale pink', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 201, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Peritoneal - Mass unknown, no fluid', 'custom_fields': None}, {'id': 219, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Peritoneal - LAD, no trauma', 'custom_fields': None}, {'id': 253, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Colon - hematochezia/diarroea, normal gut', 'custom_fields': None}, {'id': 265, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Cardiomegaly - Asymptomatic, with LAE', 'custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Spine - TID/CID with spondylosis', 'custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 76, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 85, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Drinking less'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 223, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Short of breath'}, {'id': 253, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Swollen tummy/abdomen'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 261, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Trouble breathing'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 663, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Dyspnoea - without coughing'}, {'id': 674, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mucous membranes abnormal - pale'}, {'id': 2535, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'eating-normally'}], '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': 787, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 1932, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': {'___s1_': ['cranioventral'], '___s2_': ['small intestines', 'caudally']}}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['T12-T13']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [{'id': 659, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Anaemia'}], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}, {'id': 2521, 'source': 'labelling', 'signal_name': 'Neoplasia-area'}], 'internal_notes': 'Acceptable', 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nIn the cranioventral abdomen, there is displacement of small intestines, caudally. There is loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at T12-T13. There is spondylosis deformans noted in the thoracolumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}], 'report_conclusions': '* There is an abdominal mass of which, given the location, origination from the spleen is suspected but cannot definitively be determined. There also appears to be fluid in the abdomen, rule out a neoplastic effusion, abdominal hemorrhage or other potential sources of the free fluid identified in the abdomen\n - Consider abdominal ultrasound and FNA sampling for further investigation of mass. Also consider abdominocentesis to collect fluid for cytology and analysis for further investigation of fluid.\n* A specific cause for the diarrhea is not determined from the radiographs however it may be related to the aforementioned findings. Additional differentials to consider would be colitis due to dietary indiscretion, stress, parasite, or other cause should be considered. \n- Medical management of the clinical signs is indicated at this time. Consider fecal testing and blood work for further investigation if warranted.\n* Left sided cardiomegaly. This is most consistent with mitral valve disease. There is no evidence of congestive heart failure noted at this time. \n - An echocardiogram or radiographic monitoring every 9 to 12 months could be considered for further evaluation. Consultation with a cardiologist could be considered for medication recommendations.\n* Presence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration. \n - Correlate with physical exam findings and consider advanced imaging such as MRI. '}

{'bday': '2013-01-13', 'name': 'Chico', 'breed': 'Maltipoo', 'owner': 'Arnold Baca', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Roadrunner Veterinary Emergency & Specialty Hospital', 'email': '[email protected]', 'clinician': 'Dr. Phaybouth'}

O said pt has been lethargic and not eating for 3 days. has been drinking h2o but not as normal. O thinks pt has had labored breathing. no diet change, o concerned someone might have given dog something since it is outside and barks at ppl. No vomiting noticed but diarrhea present. Mild anemia, PLT 30, TP 9. Possible abdominal mass on palpation MM pale pink

expert

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

['Dyspnoea', 'Diarrhea', 'Drinking less', 'Lethargic/tired', 'Short of breath', 'Abdominal distension', 'Trouble breathing', 'Anorexia', 'Dyspnea', 'Mucous membranes abnormal - pale', 'Eating normally']

['Vomiting']

[50, 76, 85, 131, 223, 253, 261, 606, 663, 674, 2535]

[256]

['Anemia']

[]

[659]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-10-01', 'name': 'Bolt', 'breed': 'Terrier Mix', 'owner': 'Grage', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Cheyenne Mountain Animal Hospital', 'email': '[email protected]', 'clinician': 'CMAH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented today for increased respiration rate and raspy/wheezy breathing since 3/7/2024\r\nP has a sub mandibular mass on the right side. Chest rads were taken to rule out mets', 'questions': 'This patient is 10 yrs old. He started wheezing on Thursday. He sounds like a laryngeal paralysis dog. chest xrays did not show anything obvious. other LNs were wnl. \r\n'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['Tracheal Foreign Body']}, 'groups': [{'id': 1007, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1022, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 183.761, 'consult_name': 'Negative - Cardiac/lung Screening, normal', 'diagnosis_custom_text': 'Normal thorax study. The cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology. No evidence of pulmonary metastatic disease. Given the history, an upper airway etiology may be considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '- For further investigation of the extent of the primary mass, consider ultrasound of regional lymph nodes and abdomen with FNA sampling with cytology if indicated by results.\n\n- A more detailed upper airway exam and/or additional images of the skull may be useful for further investigation of the reported clinical signs.', 'recommendation_custom_fields': None}], 'signals': [{'id': 666, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 2180, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Abnormal Respiration'}, {'id': 2386, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'met-check'}, {'id': 2456, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Wheezing'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2518, 'source': 'labelling', 'signal_name': 'oral-area'}], 'internal_notes': 'Chest rads were taken to rule out mets He sounds like a laryngeal paralysis dog. chest xrays did not show anything obvious. other LNs were wnl.', 'recommendations': [{'id': 196, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Submandibular mass lesion: Biopsy'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}], 'report_conclusions': 'Conclusions:\nNormal thorax study. The cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology. No evidence of pulmonary metastatic disease. Given the history, an upper airway etiology may be considered.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\n- For further investigation of the extent of the primary mass found on physical exam, consider ultrasound of regional lymph nodes and abdomen with FNA sampling with cytology if indicated by results.\n- A more detailed upper airway exam and/or additional images of the skull may be useful for further investigation of the reported clinical signs.'}

{'bday': '2014-10-01', 'name': 'Bolt', 'breed': 'Terrier Mix', 'owner': 'Grage', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Cheyenne Mountain Animal Hospital', 'email': '[email protected]', 'clinician': 'CMAH'}

Patient presented today for increased respiration rate and raspy/wheezy breathing since 3/7/2024 P has a sub mandibular mass on the right side. Chest rads were taken to rule out mets

This patient is 10 yrs old. He started wheezing on Thursday. He sounds like a laryngeal paralysis dog. chest xrays did not show anything obvious. other LNs were wnl.

expert

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

['Tachypnoea', 'Abnormal respiration', 'Metastasis check', 'Wheezing']

[]

[666, 2180, 2386, 2456]

[]

[]

[]

[]

[]

['Submandibular mass lesion: Biopsy']

[]

[196]

[]

{'patient': {'bday': '2015-02-12', 'name': 'Taylor^SAVAGE', 'breed': 'DSH', 'owner': 'Taylor^Kim', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Savage is a 9 YO MN DSH who was presented for bleeding from the rectum. P has been crying in litter box and straining for the past few days. Now O is seeing blood drops on the ground. P has history of chronic vomiting and pDVM told O that it could be an intestinal disease or cancer. P is on prednisolone.', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Spine - incidental spondylosis', 'custom_fields': None}, {'id': 235, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* Prominent retroperitoneal lymph node as described. Based on location and concern for primary neoplasia, metastasis is a primary concern. \n - Recommend palpation of region of interest and ultrasound to confirm the presence of prominent lymph nodes. Consider FNA with cytology if indicated to further investigate for metastasis.', 'consult_name': 'Subcut - Lnn, mets', 'custom_fields': None}, {'id': 313, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'Resp Neoplasia - Possible TMS, suspect metastatic disease', 'custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': None, 'consult_name': 'Colon - Fecal retention', 'custom_fields': None}], 'signals': [{'id': 243, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Straining to defaecate'}, {'id': 2182, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Chronic Vomiting'}], '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': 709, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is a rounded soft tissue opacity structure noted in the sublumbar retroperitoneal space, ventral to L6. ', 'elapsedTime': 9.44, 'signal_name': 'retroperitoneal-lymphadenopathy', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2565, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'Multiple nodules', 'custom_fields': {'___s1_': ['entire lung field']}}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}, {'id': 2521, 'source': 'labelling', 'signal_name': 'Neoplasia-area'}], 'internal_notes': 'Wrong codes used unnecessarily; FEC mentioned in conclusion but not mentioned under findings', 'recommendations': [{'id': 1025, 'source': 'labelling', 'recommendation_name': 'anti-inflammatory'}], 'report_findings': 'Thorax\nThere are multiple soft tissue opacity nodules observed throughout the entire lung field. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is a rounded soft tissue opacity structure noted in the sublumbar retroperitoneal space, ventral to L6. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'hip-neck-thicking'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2565, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Multiple nodules'}], 'report_conclusions': '* Multiple nodules are noted throughout the thorax. Likely representative of metastatic neoplasia. Infectious causes considered much less likely. \n - Correlate with clinical history and consider additional diagnostics for further investigation of the multiple thoracic nodules.\n* Prominent retroperitoneal lymph node as described. Based on location and concern for primary neoplasia, metastasis is a primary concern. \n - Recommend palpation of region of interest and ultrasound to confirm the presence of prominent lymph nodes. Consider FNA with cytology if indicated to further investigate for metastasis.\n* Spondylosis deformans. Likely incidental.\n - Correlate with physical exam to determine clinical significance of the spondylosis deformans identified.\n* Mild fecal retention. Rule out constipation.\n - Correlate with clinical history to rule out constipation.'}

{'bday': '2015-02-12', 'name': 'Taylor^SAVAGE', 'breed': 'DSH', 'owner': 'Taylor^Kim', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': 'null'}

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

Savage is a 9 YO MN DSH who was presented for bleeding from the rectum. P has been crying in litter box and straining for the past few days. Now O is seeing blood drops on the ground. P has history of chronic vomiting and pDVM told O that it could be an intestinal disease or cancer. P is on prednisolone.

expert

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

['Straining to defaecate', 'Chronic vomiting']

[]

[243, 2182]

[]

[]

[]

[]

[]

[]

['Anti-inflammatory']

[]

[1025]

{'patient': {'bday': '2019-04-04', 'name': 'Bun^Bo^Nguyen', 'breed': 'American Shorthair', 'owner': 'Mia Nguyen', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Houston Cat Hospital', 'email': '[email protected]', 'clinician': 'Walter-John McGowan'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Bun Bo is a 5 year old FS DSH presenting for chronic inappetence and acute increased respiratory effort for the past 24 hours. She is not UTD on prevention. She is UTD on vaccines.', 'questions': 'Interstitial lung pattern on the RT cranial aspect (HWD?)\r\nMass effect noted at the ventral abdomen (Neoplasia vs anatomical variance of adipose tissue)'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'ready', 'source': 'labelling'}, {'id': 1021, 'state': 'partial', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1053, 'state': 'normal', 'source': 'labelling'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 281, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiomegaly Feline- symptomatic (pulmonary infiltrates)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1057, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - No abdominal masses', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 666, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Tachypnoea'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, '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': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2279, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': 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': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}, {'id': 2609, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Fat Accumulation', 'custom_fields': None}], 'diagnosis': [{'id': 2443, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'neoplasia'}], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is increased opacity in the left and right cranioventral lung field, characterized as a interstitial to alveolar pattern. The cardiac silhouette appears mildly enlarged. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is an accumulation of fat noted in the cranioventral abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2609, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Fat Accumulation'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': 'Conclusions:\nPresence of cardiomegaly and pulmonary infiltrates are consistent with congestive heart failure.\nSpondylosis deformans. Likely incidental.\nNo apparent masses noted in the abdomen.\n\nRecommendations:\nTreatment for congestive heart failure with diuretics is reasonable at this time while awaiting further diagnostics. AS heart disease is possible but not definitive, consider an echocardiogram, pro-BNP level, and blood pressure measurement for further investigation. Depending on those results, likely either continued therapy for CHF or further diagnostics for pulmonary (or other) disease including airway PCR testing, bronchoscopy/wash, and abdominal ultrasound as clinically indicated.\n\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2019-04-04', 'name': 'Bun^Bo^Nguyen', 'breed': 'American Shorthair', 'owner': 'Mia Nguyen', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Houston Cat Hospital', 'email': '[email protected]', 'clinician': 'Walter-John McGowan'}

Bun Bo is a 5 year old FS DSH presenting for chronic inappetence and acute increased respiratory effort for the past 24 hours. She is not UTD on prevention. She is UTD on vaccines.

Interstitial lung pattern on the RT cranial aspect (HWD?) Mass effect noted at the ventral abdomen (Neoplasia vs anatomical variance of adipose tissue)

expert

['Respiratory-area', 'Systemic-area']

['Anorexia', 'Tachypnoea']

[]

[606, 666]

[]

['Neoplasia']

[]

[2443]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-04-08', 'name': 'Vanmeter^BUDI LEE', 'breed': 'Mix', 'owner': 'Vanmeter^Dorthy', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pt presents lateral in respiratory distress. O let pt out in the backyard and pt collapsed', 'questions': 'open'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': ['pleural-fissure']}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1021, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1023, 'state': 'partial', 'source': 'labelling'}, {'id': 1025, 'state': 'partial', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1037, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 215, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - Incomplete thoracic study, no metastasis', 'diagnosis_custom_text': 'Limited number of thorax images available for assessment. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider three view thoracic radiographs to investigate for evidence of pulmonary pathology causing respiratory distress.', 'recommendation_custom_fields': None}, {'id': 379, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 719, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiac - Syncope', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1142, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - 2 pops, incidental', 'diagnosis_custom_text': 'Presence of mild two populations of small intestine is noted. This may be an incidental finding based on the history provided, although a mechanical obstruction or severe enteritis cannot be completely ruled out. \n', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 65, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Collapsed'}, {'id': 2179, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}], 'findings': [{'id': 15, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is presence of a mild distension of a portion of small intestine and a population of non-distended intestine. ', 'signal_name': 'intestines-small-obstruction', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['caudally positioned']}}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2316, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intestine-fm', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe cardiiac silhouete and pulonary vessels are subjectively reduced in size. The observed thorax is otherwise within normal limits. No other abnormal thoracic findings are noted.\n\nAbdomen\nThere is distension of the stomach with presence of radiopaque material. There is presence of a mild distension of a portion of small intestine and a population of non-distended intestine. The spleen appears prominent. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are degenerative changes noted in the caudally positioned shoulder. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule'}, {'id': 2561, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins'}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}], 'report_conclusions': 'Conclusions:\nNo cause for the reported respiratory distress and collapse has been determined from this radiographic study. \nThe small cardiac silhouette and reduced size of the pulmonary vessels are suggestive of dehydration and hypovolemia. \nThe lungs are clear with no evidence of pathology. Limited number of thorax images available for assessment.\nDegenerative changes in the shoulder.\nThe stomach is distended with food material. Presence of mild two populations of small intestine is noted. This may be an incidental finding based on the history provided, although a mechanical obstruction or severe enteritis cannot be completely ruled out.\n\nRecommendations:\nRecommend additional diagnostics such as a neurological exam or an echocardiogram and a consultation with a cardiologist to further investigate cardiogenic causes of the reported collapse.\nConsider supportive care with fluid therapy.\nConsider three view thoracic radiographs to investigate for evidence of pulmonary pathology causing respiratory distress.\nRepeat abdominal radiographs in 12-24 hours to follow ingesta through the gastrointestinal tract. Consider abdominal ultrasonography.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the shoulder.\nCorrelate with history and clinical symptoms for clinical significance. Re-evaluation may be necessary if clinical symptoms develop/worsen.'}

{'bday': '2013-04-08', 'name': 'Vanmeter^BUDI LEE', 'breed': 'Mix', 'owner': 'Vanmeter^Dorthy', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Pt presents lateral in respiratory distress. O let pt out in the backyard and pt collapsed

open

expert

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

['Collapsed', 'Respiratory distress']

[]

[65, 2179]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-02-16', 'name': 'Ferris^Violet', 'breed': 'Wolfhound, Irish', 'owner': 'Ferris^Craig', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'clinician': 'Ira Barzelai'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for lethargy, weakness, decreased appetite, and excessive panting. PE showed dehydration, tense abdomen, pyrexia, tachycardia, normal heart/lung auscultation, injected MM. Mild monocytosis, thrombocytopenia on automated count, mild elevation ALP, moderate elevation TBil, 4Dx negative, USG 1.040, BIL positive urine, pyuria/hematuria, suspected bacteriuria. cPL pending.', 'questions': 'Screen for neoplasia, arthritis, foreign material.'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 328, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 18.969, 'consult_name': 'Resp Neoplasia - TMS fp', 'diagnosis_custom_text': 'The increased opacity noted in the thorax is suspected to be secondary to overlap of soft tissue structures in the region (end on blood vessel). Primary lung nodule considered less likely. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 420, 'state': 'normal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Renal - Normal urinary ', 'diagnosis_custom_text': "The cause for the patient's urinary issues are not noted. No evidence of urinary bladder calculi or debris are noted in the images provided, however normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps.", 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 712, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Intestines - Poss 2 pops vs colon', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 177, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 274, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Urinating abnormally'}, {'id': 545, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 591, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Weakness'}, {'id': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 622, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2359, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'tachycardia'}, {'id': 2463, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart murmur'}, {'id': 2482, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'dehydration'}], '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': 15, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-obstruction', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 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': 2316, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intestine-fm', 'custom_fields': None}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'Rounded soft tissue opacity noted on the right thorax between ribs 5-6 on the VD caudal to the scapular. Not noted on the laterals.', 'elapsedTime': 59.23, 'signal_name': 'thoracic-mass-fp', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}, {'id': 2521, 'source': 'labelling', 'signal_name': 'Neoplasia-area'}], 'recommendations': [], 'report_findings': 'Thorax\nRounded soft tissue opacity noted on the right thorax between ribs 5-6 on the VD caudal to the scapular. Not noted on the laterals. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere 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\nThere is spondylosis deformans noted in the thoracic spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'thoracic-mass-fp'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': "Conclusions:\nA portion of distended bowel is observed, however, given its location it cannot be differentiated from colon.\nThe cause for the patient's urinary issues are not noted. No evidence of urinary bladder calculi or debris are noted in the images provided, however normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps.\nThe increased opacity noted in the thorax is suspected to be secondary to overlap of soft tissue structures in the region (end on blood vessel). Primary lung nodule considered less likely.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nConsider abdominal ultrasound for further investigation of distended portion of bowel. Or monitor response to medical management and recheck radiographs in 12-24 hours to reassess the intestinal gas pattern.\nCorrelation with biochemistry profile, urinalysis, +/- urine culture is recommended. An abdominal ultrasound could be considered as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps.\nConsider additional radiographic views or follow-up radiographs to further investigate the increased opacity noted in the thorax.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified."}

{'bday': '2014-02-16', 'name': 'Ferris^Violet', 'breed': 'Wolfhound, Irish', 'owner': 'Ferris^Craig', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Presented for lethargy, weakness, decreased appetite, and excessive panting. PE showed dehydration, tense abdomen, pyrexia, tachycardia, normal heart/lung auscultation, injected MM. Mild monocytosis, thrombocytopenia on automated count, mild elevation ALP, moderate elevation TBil, 4Dx negative, USG 1.040, BIL positive urine, pyuria/hematuria, suspected bacteriuria. cPL pending.

Screen for neoplasia, arthritis, foreign material.

standard

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

['Lethargic/tired', 'Panting', 'Urination abnormal - hematuria', 'Fever/pyrexia', 'Weakness', 'Hyporexia', 'Pain - abdominal', 'Tachycardia', 'Dehydration']

['Heart murmur']

[131, 177, 274, 545, 591, 607, 622, 2359, 2482]

[2463]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-01-17', 'name': 'Taylor^PIPPA', 'breed': 'Dachshund', 'owner': 'Taylor^Paula Mae', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'AEHVolusia'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presented as a transfer for not being able to keep food down, V+ for 3 days has had fasting rads at RDVM, concern for mass or pyloric outflow obstruction, painful on abdomen on exam ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 238, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': '* Moderate distention of the stomach with the presence of possible foreign material is concerning given the history. Consideration is given to pyloric outflow obstruction or gastric foreign body. Gastroenteritis is not excluded. \n - Medical management of clinical signs and repeat radiographs in 12-24 hours could be considered to assess gastric emptying. Additionally, endoscopic examination may be a consideration. ', 'elapsedTime': 40.485, 'consult_name': 'Pyloric outflow obstruction', 'custom_fields': None}], 'signals': [{'id': 175, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Painful tummy'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 739, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'The stomach contains a soft tissue opacity with an irregular structure noted in the fundus of the left lateral and a rounded shape noted on the VD. ', 'elapsedTime': 49.578, 'signal_name': 'stomach-n-foreign-material', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 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': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}], 'diagnosis': [{'id': 52, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Gastric (stomach) outflow (pyloric) obstruction'}], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\n* No left atrial enlargement is present.\n* The cardiac silhouette is normal in size and shape. \n* Lung fields are clear. \n* No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. \n* The pleural space is normal. \n* The diaphragm is unremarkable. \n\nAbdomen\n* The liver is unremarkable. \n* The spleen appears normal in size and contour. \n* The stomach contains a soft tissue opacity with an irregular structure noted in the fundus of the left lateral and a rounded shape noted on the VD. \n* There is distension of the stomach with presence of radiopaque material. \n* The small intestines appear within normal limits. \n* There is no evidence of a mass or mass effect within the abdomen. \n* The serosal detail of the abdomen is normal. \n* The visualized kidneys are within normal limits. \n* The urinary bladder is within normal limits. \n* No evidence of urolithiasis. \n\nMusculoskeletal\n* No appendicular fractures are noted. \n* No evidence of rib fracture is observed.\n* No aggressive osseous lesions identified. \n* The spine is radiographically normal. \n* No significant intervertebral disc space narrowing is identified.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2483, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'gastric-fb'}], 'report_conclusions': '* Moderate distention of the stomach with the presence of possible foreign material is concerning given the history. Consideration is given to pyloric outflow obstruction or gastric foreign body. Gastroenteritis is not excluded. \n - Medical management of clinical signs and repeat radiographs in 12-24 hours could be considered to assess gastric emptying. Additionally, endoscopic examination may be a consideration. '}

{'bday': '2013-01-17', 'name': 'Taylor^PIPPA', 'breed': 'Dachshund', 'owner': 'Taylor^Paula Mae', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

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

P presented as a transfer for not being able to keep food down, V+ for 3 days has had fasting rads at RDVM, concern for mass or pyloric outflow obstruction, painful on abdomen on exam

expert

['Gastrointestinal-area']

['Painful tummy', 'Vomiting']

[]

[175, 256]

[]

['Gastric (stomach) outflow (pyloric) obstruction']

[]

[52]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-01-13', 'name': 'Dunlop^OAKLEY', 'breed': 'Labrador Retriever', 'owner': 'Dunlop^Carley/Miya', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'AEHVolusia'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet has been drooling the past few days. Owner does bring pet to the beach. Pet is still eating and drinking and otherwise acting normal. ', 'questions': 'See history'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1075, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Gastric - Food bloat', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 531, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Hypersalivation'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 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': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is distension of the stomach with presence of radiopaque material. There is an accumulation of fecal material in the colon. There is loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}], 'report_conclusions': 'Conclusions:\nSevere distension of the stomach with soft tissue opacity material and no evidence of torsion is consistent with a food bloat. Foreign material cannot be definitively ruled out but considered less likely.\nMild fecal retention. Rule out constipation.\n\nRecommendations:\nConsider medical management and follow up radiographs to check for passage of the material through the GI tract.\nCorrelate with clinical history to rule out constipation.'}

{'bday': '2024-01-13', 'name': 'Dunlop^OAKLEY', 'breed': 'Labrador Retriever', 'owner': 'Dunlop^Carley/Miya', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Pet has been drooling the past few days. Owner does bring pet to the beach. Pet is still eating and drinking and otherwise acting normal.

See history

standard

['Gastrointestinal-area']

['Hypersalivation']

[]

[531]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-06-10', 'name': 'WERO', 'breed': 'Maltipoo', 'owner': 'NASARI', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'clinician': 'Dr. Rule'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'S: \xa0 Wero was attacked by a dog. \xa03 hours ago. \xa0It was a Huskey, and he did pick him up and shake him.\r\n\r\nWith Juan and Maria.\xa0\r\n\r\nO:\r\n\xa0\xa0 \xa0On presentation, Wero was Fractious, Alert, and Responsive. \xa0mm pink, moist; \xa0CRT < 1. \xa0Pt cyanotic when muzzle placed.\r\n\xa0\xa0 \xa0C/V -- \xa0Heart and lung sounds normal. Femoral pulses were strong and synchronous.\r\n\xa0\xa0 \xa0M/S -- \xa0No observable lameness or pain x 4 Limbs.\r\n\xa0\xa0 \xa0Neuro -- Normal ambulation, pupils equal and responsive, normal mentation.\r\n\xa0\xa0 \xa0Lymph -- Mandibular, prescapular, inguinal, and popliteal lymph nodes within normal limits.\r\n\xa0\xa0 \xa0Abdomen -- \xa0Compliant.\r\n\xa0\xa0 \xa0Integ -- \xa0Punctures left side of chest, dorsal neck, dorsal to right eye.', 'questions': 'R/O: \xa0Pneumothorax, contusions associated with trauma.'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': '* Gastric material is consistent with food/recent meal. ', 'consult_name': 'Gastric - Post prandial ', 'custom_fields': None}, {'id': 483, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'Resp Parenchymal - trauma, no contusions', 'custom_fields': None}, {'id': 496, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* The subcutaneous gas noted is consistent with external puncture wounds. No evidence of penetration through the body wall. \n - Correlate with clinical history of trauma. Medical management and supportive care may be warranted at this time.', 'elapsedTime': 40.183, 'consult_name': 'Subcut - Puncture wounds, not penetrating', 'custom_fields': None}], 'signals': [], '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': 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 a small amount of gas noted in the soft tissue of the dorsal, cervical spine as well as on the left lateral thorax . ', 'elapsedTime': 42.24, 'signal_name': 'subcutaneous-gas', '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': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}], 'diagnosis': [{'id': 2329, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Bite injury - dog bite'}, {'id': 2336, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Wound - puncture'}], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2523, 'source': 'labelling', 'signal_name': 'trauma-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is distension of the stomach with presence of radiopaque material. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is a small amount of gas noted in the soft tissue of the dorsal, cervical spine as well as on the left lateral thorax . The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'subcutaneous-gas'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}], 'report_conclusions': '* No pulmonary pathology observed at the time of study. \n - Recommend follow up thoracic radiographs to assess for ensuing pulmonary contusion.\n* The subcutaneous gas noted is consistent with external puncture wounds. No evidence of penetration through the body wall. \n - Correlate with clinical history of trauma. Medical management and supportive care may be warranted at this time.\n* Gastric material is consistent with food/recent meal. '}

{'bday': '2020-06-10', 'name': 'WERO', 'breed': 'Maltipoo', 'owner': 'NASARI', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

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

S:   Wero was attacked by a dog.  3 hours ago.  It was a Huskey, and he did pick him up and shake him. With Juan and Maria.  O:     On presentation, Wero was Fractious, Alert, and Responsive.  mm pink, moist;  CRT < 1.  Pt cyanotic when muzzle placed.     C/V --  Heart and lung sounds normal. Femoral pulses were strong and synchronous.     M/S --  No observable lameness or pain x 4 Limbs.     Neuro -- Normal ambulation, pupils equal and responsive, normal mentation.     Lymph -- Mandibular, prescapular, inguinal, and popliteal lymph nodes within normal limits.     Abdomen --  Compliant.     Integ --  Punctures left side of chest, dorsal neck, dorsal to right eye.

R/O:  Pneumothorax, contusions associated with trauma.

standard

['Respiratory-area', 'trauma-area']

[]

[]

[]

[]

['Bite injury - dog bite', 'Wound - puncture']

[]

[2329, 2336]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-01-07', 'name': 'Jake Bolton', 'breed': 'Domestic Shorthair', 'owner': 'Sheryl Bolton', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': "Patient had supervised outside time today and went out of eye sight and ate some grass. Patient vomited some grass and liquid, then owner reports some odd mouth movements afterward which made the owners think he could possibly have something stuck in his throat. Patient has been lethargic since and did not want to eat this evening. Patient's vitals WNL", 'questions': 'esophageal vs gastrointestinal foreign body vs other'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1020, 'state': 'partial', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}, {'id': 1033, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1039, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}, {'id': 1053, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 500, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Intestines - FB small (incidental)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 745, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Resp Upper - gagging/dysphagia, normal larynx, normal thorax', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'normal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Negative - Cardiac/lung Screening, normal', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1046, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Forelimb Carpus - arthritis, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 521, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 2181, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Acute-Vomiting-c'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['mineral and food/fecal']}}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2288, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'plication-distension-si', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2290, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-foreign-body', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 2446, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': {'___s1_': ['right']}}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 612, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Foreign body'}], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2520, 'source': 'labelling', 'signal_name': 'screening-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach. There is mineral and food/fecal foreign material located within the small intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is degenerative joint disease affecting the right carpus. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2290, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-foreign-body'}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process'}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals'}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid'}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'laryngeal-opacity'}, {'id': 2495, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Retropharyngeal-opacity'}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': "Conclusions:\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\nSmall intestinal foreign material as described likely to pass on its own. No evidence of obstruction noted. Likely incidental.\nThe larynx and associated soft tissue appears within normal limits.\nThe cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology.\nDegenerative changes in the distal forelimb as previously described.\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.\nConsider follow up radiographs to ensure passage of the described intestinal foreign body. Monitor for development of clinical signs.\nFor further characterization, the described signs may require a functional study i.e. a contrast fluoroscopic exam to examine the swallow function, lightly sedated laryngeal exam to assess arytenoid function and laryngeal saccules.\nCorrelate with orthopedic examination."}

{'bday': '2015-01-07', 'name': 'Jake Bolton', 'breed': 'Domestic Shorthair', 'owner': 'Sheryl Bolton', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Patient had supervised outside time today and went out of eye sight and ate some grass. Patient vomited some grass and liquid, then owner reports some odd mouth movements afterward which made the owners think he could possibly have something stuck in his throat. Patient has been lethargic since and did not want to eat this evening. Patient's vitals WNL

esophageal vs gastrointestinal foreign body vs other

expert

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

['Lethargic/tired', 'Gagging/retching', 'Acute vomiting', 'Feline']

[]

[131, 521, 2181, 2327]

[]

['Foreign body']

[]

[612]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-01-01', 'name': '^Bo', 'breed': 'French bulldog', 'owner': 'Carter', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Murabella Animal Hospital', 'email': '[email protected]', 'clinician': 'MuraBella Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P was hit by car twice approx 1 hr prior. SPO2 81% without Oxygen. Likely radial nerve damage FR. Prev hx nsf', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1016, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1039, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1041, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1042, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': 'Spondylosis deformans and hemivertebra noted. Likely incidental.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical exam to determine clinical significance of the spondylosis deformans and the vertebral anomaly identified.', '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': 1046, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Forelimb Carpus - arthritis, no lameness', 'diagnosis_custom_text': 'Mild degenerative changes in the distal forelimb as previously described. ', '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 '}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is mild spondylosis deformans noted in the thoracolumbar spine. ', 'signal_name': 'spondylosis-spondylosis', 'custom_fields': None}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 870, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T6', ',T7']}}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2280, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is increased opacity throughout the right lung fields, characterized as an interstitial to alveolar pattern. ', 'signal_name': 'lung-fields-opacity', '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}, {'id': 2446, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is mild degenerative joint disease affecting the left and right carpus. ', 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [{'id': 1740, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Peripheral neuropathy - radial neuropathy'}], 'questions': [{'id': 2509, 'source': 'labelling', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-area'}, {'id': 2523, 'source': 'ai', 'signal_name': 'trauma-area'}], 'recommendations': [{'id': 995, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'oxygen-therapy'}], 'report_findings': 'Thorax\nThere is increased opacity throughout the right lung fields, characterized as an interstitial to 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\nThere is mild spondylosis deformans noted in the thoracolumbar spine. Vertebral anomaly is noted at T6 and T7. There is mild degenerative joint disease affecting the left and right carpus. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2403, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-deformity'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2421, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-degeneration'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2491, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Inter-sternebral narrowing'}, {'id': 2492, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal-subluxation'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2573, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tibia Displacement'}, {'id': 2586, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subluxation of Ribs'}, {'id': 2594, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fractured Rib Cartilages'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': 'Conclusions:\nThe increased opacity noted in the lung is consistent with pulmonary contusion secondary to reported trauma.\nMild degenerative changes in the distal forelimb as previously described.\nSpondylosis deformans and hemivertebra noted. Likely incidental.\n\nRecommendations:\nRespiratory monitoring and supportive care including supplemental oxygen, judicious use of IV fluids, and analgesics are indicated.\nCorrelate with orthopedic examination.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans and the vertebral anomaly identified.'}

{'bday': '2019-01-01', 'name': '^Bo', 'breed': 'French bulldog', 'owner': 'Carter', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

P was hit by car twice approx 1 hr prior. SPO2 81% without Oxygen. Likely radial nerve damage FR. Prev hx nsf

expert

['cardiovascular-area', 'Respiratory-area', 'Musculoskeletal-area', 'neuro-area', 'trauma-area']

['Hit by car']

[]

[30]

[]

['Peripheral neuropathy - radial neuropathy']

[]

[1740]

[]

['Oxygen therapy']

[]

[995]

[]

{'patient': {'bday': '2018-08-09', 'name': 'TERAH', 'breed': 'Boxer', 'owner': 'ROGERS', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'clinician': 'Dr. Brown'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Ate chocolate with wrappers on Friday.\r\nVomiting today\r\nAte at 5:00pm then vomited then ate again\r\nBlood test pending.', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'incidental spondylosis', 'custom_fields': None}, {'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'custom_fields': None}, {'id': 247, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': '* The study is most compatible with gastroenteritis. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to dietary indiscretion, infectious conditions, a systemic illness, and hemorrhagic gastroenteritis should be considered.\n - Supportive care is recommended. Consider lab testing for pancreatitis and follow-up imaging with abdominal ultrasound to rule out gastroenteritis, dietary indiscretion, pancreatitis or a systemic illness causing secondary GI signs.', 'elapsedTime': 45.654, 'consult_name': 'Intestines - Normal, no cause for GI signs', 'custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2181, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Acute-Vomiting-c'}, {'id': 2184, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['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': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is radiopaque material within the stomach. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}], 'report_conclusions': "* The study is most compatible with gastroenteritis. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to dietary indiscretion, infectious conditions, a systemic illness, and hemorrhagic gastroenteritis should be considered.\n - Supportive care is recommended. Consider lab testing for pancreatitis and follow-up imaging with abdominal ultrasound to rule out gastroenteritis, dietary indiscretion, pancreatitis or a systemic illness causing secondary GI signs.\n* Gastric material. This may represent food however foreign material cannot be entirely ruled out.\n - Correlate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\n* Spondylosis deformans. Likely incidental.\n - Correlate with physical exam to determine clinical significance of the spondylosis deformans identified."}

{'bday': '2018-08-09', 'name': 'TERAH', 'breed': 'Boxer', 'owner': 'ROGERS', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

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

Ate chocolate with wrappers on Friday. Vomiting today Ate at 5:00pm then vomited then ate again Blood test pending.

expert

['Gastrointestinal-area']

['Vomiting', 'Acute vomiting', 'Suspected foreign body ingestion']

[]

[256, 2181, 2184]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-01-01', 'name': 'minor^cooper', 'breed': 'Labrador Retriever', 'owner': 'minor^matthew', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presents for: Labored breathing \r\nSigns and symptoms: Labored breathing, vomiting, restless\r\nEvents leading up to problem: Patient was outside this evening and when he came back inside he was in respiratory distress. He seemed to be gasping and then vomited white foam. He continued to have labored breathing and at one point his tongue turned purple and he then vomited a large amount. He has not been able to calm down and the owner is concerned the breathing is getting worse ', 'questions': 'R/O pneumonia VS neoplasia vs other'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['mediastinal-gas-c', 'subcutaneous-gas', 'thymus-present']}, 'consult': [{'id': 321, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 117.209, 'consult_name': 'Resp Parenchymal - patchy interstitial, no masses', 'diagnosis_custom_text': 'Patchy interstitial pattern identified. Could be related to the possible mediastinum mass. cannot rule out Infectious (infectious bronchopneumonia, fungal), inflammatory, or neoplastic etologies.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider respiratory lavage for cytological exam and culture and sensitivity to investigate the patchy interstitial pattern identified. Fungal titers should also be considered if history warrants.', 'recommendation_custom_fields': None}, {'id': 336, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 72.863, 'consult_name': 'Resp Neoplasia - Cranial mediastinal mass', 'diagnosis_custom_text': 'Possible mediastinal mass. Differentials include lymphoma, thymoma, or other neoplastic disease. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 379, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 424, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Repros - PMG, intact male', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 23, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Agitated'}, {'id': 177, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 677, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Cyanotic mucous membrane'}, {'id': 2179, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}], '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': 19, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['caudally positioned']}}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is increased opacity in the caudodorsal lung field, characterized as a patchy interstitial to alveolar pattern.', 'elapsedTime': 9.417, 'signal_name': 'lung-caudodorsal-parenchymal', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1635, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'prostate-visible', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 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': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'A rounded soft tissue mass is noted in the cranial mediastinum. ', 'signal_name': 'cranial-mediastinal-mass', 'custom_fields': None}], 'diagnosis': [{'id': 2056, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pneumonia'}, {'id': 2443, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'neoplasia'}], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is increased opacity in the caudodorsal lung field, characterized as a patchy interstitial to alveolar pattern. A rounded soft tissue mass is noted in the cranial mediastinum. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe prostate is prominent. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are degenerative changes noted in the caudally positioned shoulder. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 707, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'prostate-mineralization'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp'}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-fat'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2451, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Prostate-fp'}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'cranial-mediastinal-mass'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2563, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node'}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node'}], 'report_conclusions': 'Conclusions:\nPossible mediastinal mass. Differentials include lymphoma, thymoma, or other neoplastic disease.\nPatchy interstitial pattern identified. Could be related to the possible mediastinum mass. cannot rule out Infectious (infectious bronchopneumonia, fungal), inflammatory, or neoplastic etologies.\nDegenerative changes in the shoulder.\nIncreased size of the prostate gland is likely secondary to benign hypertrophy being an intact male.\n\nRecommendations:\nFor further assessment, consider thoracic ultrasound and collection of FNA samples from the described mass. CT investigation of the thorax may also provide additional information.\nConsider respiratory lavage for cytological exam and culture and sensitivity to investigate the patchy interstitial pattern identified. Fungal titers should also be considered if history warrants.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the shoulder.\nCorrelate with rectal exam and clinical signs for clinical significance of the enlarged prostate.'}

{'bday': '2011-01-01', 'name': 'minor^cooper', 'breed': 'Labrador Retriever', 'owner': 'minor^matthew', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Patient presents for: Labored breathing Signs and symptoms: Labored breathing, vomiting, restless Events leading up to problem: Patient was outside this evening and when he came back inside he was in respiratory distress. He seemed to be gasping and then vomited white foam. He continued to have labored breathing and at one point his tongue turned purple and he then vomited a large amount. He has not been able to calm down and the owner is concerned the breathing is getting worse

R/O pneumonia VS neoplasia vs other

expert

['Respiratory-area']

['Agitated/restless', 'Panting', 'Vomiting', 'Mucous membranes abnormal - cyanosed', 'Respiratory distress']

[]

[23, 177, 256, 677, 2179]

[]

['Pneumonia', 'Neoplasia']

[]

[2056, 2443]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-01-01', 'name': 'Gorum^Princess^^^', 'breed': 'Chihuahua', 'owner': 'Lorena Gorum', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Room - San Antonio', 'email': '[email protected]', 'clinician': 'Animal Emergency Room'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'see below', 'questions': 'Moderate respiratory distress - progressive today\r\nGrade V murmur\r\nGIV dental dz\r\nmm blue\r\n\r\nNo Cv enlargement???\r\nTemp normal\r\nInside dog\r\nCBC / panel WBC 24000 w LS\r\nBUN 35 - otherwise WNL'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'ready', 'source': 'labelling'}, {'id': 1021, 'state': 'partial', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 267, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiomegaly - Symptomatic, small breed, not on meds', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 431, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Renal - RMN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1075, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 43.187999999999995, 'consult_name': 'Gastric - Food bloat', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 258, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Dental problem'}, {'id': 677, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Cyanotic mucous membrane'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2179, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}], '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': 699, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-mineralization', 'custom_fields': {'___s1_': ['left']}}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2280, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['mixed interstitial to alveolar']}}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is increased opacity throughout the lung fields, characterized as a mixed interstitial to alveolar pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is distension of the stomach with presence of radiopaque material. There is increased opacity noted over the silhouette of the left kidney. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}], 'report_conclusions': 'Conclusions:\nLeft sided congestive heart failure with pulmonary edema likely secondary to mitral regurgitation noted.\nRenal mineralization overlying the renal silhouette indicative of likely chronic renal disease.\nSevere distension of the stomach with soft tissue opacity material and gas consistent with possible food bloat. Foreign material cannot be definitively ruled out.\n\nRecommendations:\nSummary:\nFor further assessment, an echocardiogram and blood pressure measurement would be optimal. Diuretics, as a pre-load reducer, are essential for reducing pulmonary edema. Supportive care such as oxygen therapy may be indicated. Additional cardiac medication may also be considered.\nConsider a biochemistry profile and urinalysis, and if there is suspicion for renal disease, consider an abdominal ultrasound. Additionally, consider medical management and follow-up radiographs to check for the passage of material through the GI tract.'}

{'bday': '2011-01-01', 'name': 'Gorum^Princess^^^', 'breed': 'Chihuahua', 'owner': 'Lorena Gorum', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

see below

Moderate respiratory distress - progressive today Grade V murmur GIV dental dz mm blue No Cv enlargement??? Temp normal Inside dog CBC / panel WBC 24000 w LS BUN 35 - otherwise WNL

expert

['cardiovascular-area']

['Dental problem', 'Mucous membranes abnormal - cyanosed', 'Heart Murmur', 'Respiratory distress']

[]

[258, 677, 2175, 2179]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2008-04-20', 'name': 'PREISNER^BUDDY', 'breed': 'Mixed - Medium', 'owner': 'PREISNER^TASHA', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'patient has had a low grade heart murmur for a while. today started breathing hard. coughing at home. fell over. almost passed out while coughing. very lethargic today. still e/d wnl. no v/d noted. owner thinks patient seemed constipated this morning. ', 'questions': 'thorax'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'partial', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1034, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 8, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 331, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Resp Pleural - small fissure line', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 476, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Colon - Constipation', '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': 879, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Hepatomegaly - Mild', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 941, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Parenchymal - Interstitial Lung Pattern', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1100, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly - possible pattern, panting/difficulty breathing', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 76, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Diarrhea-c'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'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': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 715, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pulmonary-pattern', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 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', 'thorax', 'on the left']}}, {'id': 2280, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['unstructured interstitial']}}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'pleural-fissure', 'custom_fields': {'___s1_': ['right']}}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}, {'id': 2606, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Chronic Fecal Material', 'custom_fields': None}], 'diagnosis': [{'id': 48, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Constipation'}], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}, {'id': 2663, 'source': 'ai', 'signal_name': 'Resp signs - general'}], 'internal_notes': 'ran out of time ', 'recommendations': [], 'report_findings': 'Thorax\nThere is evidence of left atrial enlargement. The heart measures above the normal range. There is increased opacity throughout the lung fields, characterized as a unstructured interstitial to alveolar pattern, especially in the peri-hilar area. A pleural fissure line is noted in the right thorax. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver may be mildly enlarged. There is radiopaque material within the stomach. There is an accumulation of fecal material in the colon. The fecal material noted in the colon is moderately radiopaque, consistent with chronicity. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is mild spondylosis deformans noted in the thoracic spine. There is a mass of soft tissue opacity associated with the subcutaneous tissue on the ventral left thorax. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift'}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'subcutaneous-mass'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'pleural-fissure'}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2579, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tortuous vessels'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Chronic Fecal Material'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hmg-mild'}], 'report_conclusions': "Conclusions:\nThe cardiac silhouette appears enlarged making cardiac disease a likely cause of the clinical signs, with apparent pulmonary edema. Concurrent primary lung disease can't be excluded.\nThe pleural fissure line noted may represent a small amount of pleural fluid. Thickening of the pleura/pleuritis or artifactual appearance cannot be ruled out.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion, or other infiltrative disease (eg, vacuolization, infection, inflammation, neoplasia, others).\nSubcutaneous mass as described.\nFecal retention noted is consistent with constipation.\nGastric material is consistent with food/recent meal.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nIdeally, an echocardiogram and blood pressure measurement (as soon as possible) are recommended to investigate further. If an echo cannot be done expeditiously, then consider diuretic therapy in the interim.\nCorrelate with history for the clinical significance of the noted pleural fissure line.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.\nCorrelate with physical exam and consider tissue sampling of the described subcutaneous/cutaneous mass to determine etiology.\nTreatment for constipation/obstipation with enemas &/or stool softener can be considered.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified."}

{'bday': '2008-04-20', 'name': 'PREISNER^BUDDY', 'breed': 'Mixed - Medium', 'owner': 'PREISNER^TASHA', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

patient has had a low grade heart murmur for a while. today started breathing hard. coughing at home. fell over. almost passed out while coughing. very lethargic today. still e/d wnl. no v/d noted. owner thinks patient seemed constipated this morning.

thorax

expert

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

['Dyspnoea', 'Coughing', 'Lethargic/tired', 'Heart Murmur', 'Canine Medium/Large Breed']

['Diarrhea', 'Vomiting']

[50, 69, 131, 2175, 2656]

[76, 256]

['Constipation']

[]

[48]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-05-09', 'name': 'Olson^Stella', 'breed': 'Maltese', 'owner': 'Olson^Tara', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Insight Veterinary Wellness Center - 24/7', 'email': '[email protected]', 'clinician': 'IVWC'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pt presented tonight for panting more frequently. Coughing on and off over the last week but this has been typical since heart murmur was dx.\r\nHx of grade 4 heart murmur. On Meds : Furosemide, vetmedin, benazepril, spironolactone.\r\nCL,rvt\r\n\r\ne/d wnl, bm/u wnl, energy is wnl. Vx utd- no Hx of seizurew or med sensitivities.\r\nef,va', 'questions': 'concern for heart related issue vs GI vs back pain '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1006, 'state': 'empty', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1019, 'state': 'partial', 'source': 'labelling'}, {'id': 1020, 'state': 'partial', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1028, 'state': 'empty', 'source': 'labelling'}, {'id': 1031, 'state': 'partial', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}, {'id': 1095, 'state': 'ready', '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': 1100, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly - possible pattern, panting/difficulty breathing', 'diagnosis_custom_text': 'Left sided cardiomegaly consistent with reported history.\xa0No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'An echocardiogram and blood pressure measurement are recommended to investigate further.\xa0Continuing with current medications would be indicated.', 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 177, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is evidence of left heart enlargement.', 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 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', 'thorax']}}, {'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': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}, {'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}, {'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [{'id': 1021, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'furosemide'}, {'id': 1055, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'pimobendan'}], 'report_findings': 'Thorax\nThere is evidence of left heart 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 rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is a mass of soft tissue opacity associated with the subcutaneous tissue, on the ventral and thorax. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'subcutaneous-mass'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp'}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-fat'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'id': 2469, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'narrowed-mainstem-bronchi'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node'}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nLeft sided cardiomegaly consistent with reported history.\xa0No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\n\nRecommendations:\nAn echocardiogram and blood pressure measurement are recommended to investigate further.\xa0Continuing with current medications would be indicated.\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.'}

{'bday': '2011-05-09', 'name': 'Olson^Stella', 'breed': 'Maltese', 'owner': 'Olson^Tara', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Pt presented tonight for panting more frequently. Coughing on and off over the last week but this has been typical since heart murmur was dx. Hx of grade 4 heart murmur. On Meds : Furosemide, vetmedin, benazepril, spironolactone. CL,rvt e/d wnl, bm/u wnl, energy is wnl. Vx utd- no Hx of seizurew or med sensitivities. ef,va

concern for heart related issue vs GI vs back pain

expert

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

['Coughing', 'Panting', 'Heart Murmur', 'Canine Small Breed']

[]

[69, 177, 2175, 2654]

[]

[]

[]

[]

[]

['Furosemide', 'Pimobendan']

[]

[1021, 1055]

[]

{'patient': {'bday': '2010-05-04', 'name': 'SOLIS^BUDDY', 'breed': 'CHIHUAHUA', 'owner': 'SOLIS^CARLOS', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Emergency Pet Hospital of Glendora', 'email': '[email protected]', 'clinician': 'EPHG'}, 'accept_tos': 'true', 'consult_info': {'case_info': '“Buddy” presents for acute jumping up while sleeping and then shaking, hypersensitive. No significant abnormalities in recent history. Owner reports “Buddy” was okay even earlier today.', 'questions': 'Open-diagnosis'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'inprogress', 'source': 'rules'}, {'id': 1022, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'empty', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1054, 'state': 'normal', 'source': 'labelling'}, {'id': 1096, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 301, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Trachea - cough, collapse', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 458, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Bladder - Bladder stones, fp', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1059, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - No cause for pain/ panting/ heavy breathing', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 620, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 2186, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2548, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'falling off bed/ Fallen off something'}, {'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': 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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': {'___s1_': ['thoracic inlet']}}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 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': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is narrowing of the trachea at the thoracic inlet region. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach. Increased opacity is noted over the silhouette of the urinary bladder. There is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'urinary-bladder-distension'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp'}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'bladder-calculi-fp'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nNo radiographic evidence for clinical signs described. Consider discomfort as a possible differential, sources of discomfort could include partial vertebral disc herniation, abdominal or other soft tissue origins. \nThe opacity over the bladder is suspected to be secondary to summation of structures or possible mineralization of surrounding structures rather than true urolithiasis. Bladder distension may represent urinary retention secondary to anxiety or lack of access to urinate outside, although urolithiasis cannot be excluded. \nThe narrowing of the trachea as described is consistent with collapsing trachea. \nSpondylosis deformans noted. Likely incidental. \nGastric material noted is consistent with food/recent meal.\n\nRecommendations:\nSummary:\n- Recommend supportive care for the reported clinical signs and re-evaluate as clinically indicated to further investigate possible sources of discomfort.\n- Consider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for urinary bladder calculi.\n- Consider medical management for tracheal collapse, including limiting stress/excitement, avoiding neck leashes and collars, and using antitussives and possibly anti-inflammatory medications if associated clinical signs are present.\n- Correlate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2010-05-04', 'name': 'SOLIS^BUDDY', 'breed': 'CHIHUAHUA', 'owner': 'SOLIS^CARLOS', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

“Buddy” presents for acute jumping up while sleeping and then shaking, hypersensitive. No significant abnormalities in recent history. Owner reports “Buddy” was okay even earlier today.

Open-diagnosis

standard

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

['Tremors/shaking/trembling', 'Pain', 'Jumped off something', 'Canine Small Breed']

[]

[620, 2186, 2548, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-02-25', 'name': 'HUNT^DAHLIA', 'breed': 'SIBERIAN HUSKY', 'owner': 'HUNT^MATT', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Emergency Pet Hospital of Glendora', 'email': '[email protected]', 'clinician': 'EPHG'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Repeat radiographs with supportive care; pet has not been eating. Parvo SNAP was re-ran again to verify and positive again.', 'questions': 'Concerned with Parvo with intestinal foreign body obsruction? Concern in doing exlap sx on Parvo dog'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1026, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 726, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - follow up 2 pops, resolved', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 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': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 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': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [{'id': 1017, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Canine parvovirus infection'}, {'id': 2436, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'small-intestinal-mechanical-obstruction-foreign-body-'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2290, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-foreign-body'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}], 'report_conclusions': 'Conclusions:\nNo evidence of obstruction is noted in the current study. The intestinal pattern noted on previous radiographs appears to have resolved.\n\nRecommendations:\nMedical management of gastrointestinal signs is indicated at this time.'}

{'bday': '2024-02-25', 'name': 'HUNT^DAHLIA', 'breed': 'SIBERIAN HUSKY', 'owner': 'HUNT^MATT', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Repeat radiographs with supportive care; pet has not been eating. Parvo SNAP was re-ran again to verify and positive again.

Concerned with Parvo with intestinal foreign body obsruction? Concern in doing exlap sx on Parvo dog

standard

['Gastrointestinal-area']

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

[]

[606, 2656]

[]

['Canine parvovirus infection', 'Small intestinal mechanical obstruction (foreign body)']

[]

[1017, 2436]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-03-10', 'name': 'Andersson^JAMES', 'breed': 'Mix', 'owner': 'Andersson^Carolyn', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'PP as TX splenectomy from RDVM , submitting consult to rule out spread of cancer to chest', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1021, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1034, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 213, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 28.084, 'consult_name': 'Negative - No thoracic masses', 'diagnosis_custom_text': 'No evidence of pulmonary metastatic disease in this study. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 664, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 130.84699999999998, 'consult_name': 'Resp Pleural - pleural effusion, CVP/CDP/DPP', 'diagnosis_custom_text': 'There is presence of pleural fluid, a specific cause for which is not determined during this evaluation. On the laterals the lung fields appear displaced caudally, rule out possible cranial thoracic mass. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider therapeutic thoracocentesis and obtaining a sample for fluid analysis and cytology to further investigate changes in the lungs. Repeat radiographs post thoracocentesis vs ultrasound of the area vs CT to rule out causes. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 2386, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'met-check'}], 'findings': [{'id': 6, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pleural-effusion', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 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': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'pleural-fissure', 'custom_fields': {'___s1_': ['cranioventral']}}], 'diagnosis': [], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2520, 'source': 'labelling', 'signal_name': 'screening-area'}], 'internal_notes': 'to rule out spread of cancer to chest', 'recommendations': [{'id': 679, 'state': 'abnormal', 'source': 'ai', 'recommendation_name': 'Spleen: Splenectomy - total'}], 'report_findings': 'Thorax\nA pleural fissure line is noted in the cranioventral thorax. There is evidence of fluid in the pleural space. The rest of the observed thorax is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'pleural-fissure'}], 'report_conclusions': 'Conclusions:\nNo evidence of pulmonary metastatic disease in this study.\nThere is presence of pleural fluid, a specific cause for which is not determined during this evaluation. On the laterals the lung fields appear displaced caudally, rule out possible cranial thoracic mass.\n\nRecommendations:\nConsider diagnostic thoracocentesis and obtaining a sample for fluid analysis and cytology to further investigate changes in the lungs. Repeat radiographs post thoracocentesis vs ultrasound of the area vs CT to rule out causes.'}

{'bday': '2018-03-10', 'name': 'Andersson^JAMES', 'breed': 'Mix', 'owner': 'Andersson^Carolyn', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

PP as TX splenectomy from RDVM , submitting consult to rule out spread of cancer to chest

expert

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

['Metastasis check']

[]

[2386]

[]

[]

[]

[]

[]

['Spleen: Splenectomy - total']

[]

[679]

[]

{'patient': {'bday': '2014-03-01', 'name': 'Roxy', 'breed': 'Lab Retriever ', 'owner': 'Zandbergen, Ashley', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Pomona Park Animal Urgent Care', 'email': '[email protected]', 'clinician': 'Pomona Park Veterinary Urgent Care'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'In the past 12 hours Ps left front paw swell and she will not put any weight on it. No occurrence known to cause. Otherwise doing fine. ', 'questions': 'L eft Carpus on L lateral view is primary area of concern.'}}

{'tags': {'userTags': ['unacceptable', 'conclusions_missing'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['ununited-anconeal-process']}, 'consult': [{'id': 379, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 406, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Subcut - Swelling, non specific', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1046, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Forelimb Carpus - arthritis, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 575, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mass/swelling - limb, upper'}, {'id': 2346, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lameness-forelimb'}, {'id': 2545, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}], 'findings': [{'id': 17, 'source': '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_': ['right']}}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the left', 'carpal joint']}}, {'id': 2446, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a suspicious point present in the proximal metacarpal region of the left carpus, may be degenerative joint disease affecting the left carpus. ', 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}], 'internal_notes': 'arthritis not severe- could not be the cause for the acute swelling/non-weight bearing', 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is soft tissue swelling involving the left, carpal joint. There are degenerative changes noted in the right shoulder. There is a suspicious point present in the proximal metacarpal region of the left carpus, may be degenerative joint disease affecting the left carpus. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy'}, {'id': 722, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesions-of-the-third-phalanx'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}], 'report_conclusions': 'Conclusions:\nSoft tissue swelling present as noted. No pathology observed in the associated bony structures. Differentials include cellulitis, dermatitis, or less likely neoplastic disease.\nDegenerative changes in the shoulder.\nDegenerative changes in the distal forelimb as previously described.\n\nRecommendations:\nCorrelate with physical exam findings. Consider medical management for the soft tissue swelling. If the patient does not respond to medical management, tissue sampling could be considered.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the shoulder.\nCorrelate with orthopedic examination.'}

{'bday': '2014-03-01', 'name': 'Roxy', 'breed': 'Lab Retriever ', 'owner': 'Zandbergen, Ashley', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

In the past 12 hours Ps left front paw swell and she will not put any weight on it. No occurrence known to cause. Otherwise doing fine.

L eft Carpus on L lateral view is primary area of concern.

expert

['Musculoskeletal-area']

['Mass/swelling - limb', 'Forelimb lameness', 'Non-weight bearing lameness']

[]

[575, 2346, 2545]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2009-07-26', 'name': 'Calvin^Gambhu', 'breed': 'Balinese', 'owner': 'Calvin^Sarah', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'clinician': 'Parmjit Dhillon'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Congested since last week (URI?). has been having gagging and exaggerated swallowing after doxycycline. Hx of thyroid mass- growing in size. Has been having intermittent V+ and constipation. Hx of heart murmur and osteoarthritis.', 'questions': 'Is thyroid mass compressing on the esophagus? could it be causing the gagging/exaggerated swallowing??'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'empty', 'source': 'rules'}, {'id': 1014, 'state': 'partial', 'source': 'labelling'}, {'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1033, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 441, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 11.305, 'consult_name': 'Intestines - Functional ileus', 'diagnosis_custom_text': 'Diffuse distension of the GI tract with no evidence of obstruction is consistent with functional ileus or aerophagia. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 667, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 108.788, 'consult_name': 'Subcut - Subcutaneous/cutaneous mass', 'diagnosis_custom_text': 'Subcutaneous/cutaneous mass as described causing dorsal, left lateral displacement of the cervical trachea an likely esophagus. Most likely causing clinical signs. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical exam and consider ultrasound of the described thyroid mass to determine etiology. Consider referral before sampling masses in these areas. ', 'recommendation_custom_fields': None}, {'id': 734, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 29.742, 'consult_name': 'Resp Upper - Laryngeal abnormality', 'diagnosis_custom_text': 'Irregularity of the soft tissues in the region of the larynx. Differentials may include primary neoplasia, cyst, polyp, granuloma, or severe laryngitis, or fluid build up caudal to the reported thyroid mass though superimposition of structures cannot be completely ruled out. Suspected to be related to clinical signs', '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': 521, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 578, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mass/swelling - unspecified'}, {'id': 2463, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart murmur'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['neck']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 2307, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None}, {'id': 2308, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'frontal-sinuses', 'custom_fields': None}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}, {'id': 2314, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is dorsal, left lateral displacement of the cervical trachea an likely esophagus. ', 'elapsedTime': 22.61, 'signal_name': 'tracheal-displacement', 'custom_fields': None}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': {'___s1_': ['gas']}}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is increased opacity in the region of the larynx. ', 'elapsedTime': 6.258, 'signal_name': 'laryngeal-opacity', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [{'id': 48, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Constipation'}, {'id': 1336, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Osteoarthritis, secondary'}, {'id': 2032, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Respiratory tract infection, upper (URTI)'}], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}, {'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2518, 'source': 'labelling', 'signal_name': 'oral-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is dorsal, left lateral displacement of the cervical trachea an likely esophagus. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is diffuse distension of the small intestine with gas. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. There is soft tissue swelling involving neck. There is increased opacity in the region of the larynx. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 812, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'dental-tooth-periapical-lucency-class'}, {'id': 815, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'dental-tooth-attachment-loss-class'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia'}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals'}, {'id': 2307, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tympanic-bulla'}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'frontal-sinuses'}, {'id': 2309, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'nasal-cavity'}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture'}, {'id': 2311, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-abl'}, {'id': 2314, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'tracheal-displacement'}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia'}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2420, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ear-canal-mineralization'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'laryngeal-opacity'}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': 'Conclusions:\nSubcutaneous/cutaneous mass as described causing dorsal, left lateral displacement of the cervical trachea and likely esophagus as well. This maybe the cause of the clinical signs. \nIrregularity of the soft tissues in the region of the larynx. Differentials may include primary neoplasia, cyst, polyp, granuloma, or severe laryngitis, or fluid build up caudal to the reported thyroid mass though superimposition of structures cannot be completely ruled out. Suspected to be related to clinical signs.\nDiffuse distension of the GI tract with no evidence of obstruction is consistent with functional ileus or aerophagia.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nCorrelate with physical exam and consider ultrasound of the described thyroid mass to determine etiology. Consider referral before sampling masses in these areas.\nRecommend a sedated laryngeal exam and tissue sampling for further investigation of the irregularity noted in the larynx. A CT scan may also yield additional information.\nAs signs started after the doxycycline, doxycycline has been known to cause esophageal lesions from local irritation.\nConsider repeat radiographs and/or abdominal ultrasound to further investigate for ileus. Medical management of the clinical signs (if any) may be indicated at this time.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2009-07-26', 'name': 'Calvin^Gambhu', 'breed': 'Balinese', 'owner': 'Calvin^Sarah', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Congested since last week (URI?). has been having gagging and exaggerated swallowing after doxycycline. Hx of thyroid mass- growing in size. Has been having intermittent V+ and constipation. Hx of heart murmur and osteoarthritis.

Is thyroid mass compressing on the esophagus? could it be causing the gagging/exaggerated swallowing??

expert

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

['Vomiting', 'Gagging/retching', 'Mass/swelling - other', 'Heart murmur']

[]

[256, 521, 578, 2463]

[]

['Constipation', 'PDx: osteoarthritis', 'Respiratory tract infection, upper (URTI)']

[]

[48, 1336, 2032]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-06-10', 'name': 'Pianesi^Vesta', 'breed': 'SPINONE ITALIANO', 'owner': 'Pianesi', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'clinician': 'Manzoor F.'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Pet presented for eating part of O's tupperwear earlier today. Pet has a history of dietary indiscretion.", 'questions': 'Concern for obstruction, foreign body.'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 76.819, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': 'Gastric material. This may represent food however foreign material cannot be entirely ruled out given the history of foreign body ingestion.', '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 and rule out a foreign body.", 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 500, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Intestines - FB small (incidental)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 92, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 251, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Foreign body ingestion'}, {'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': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is mineral and food/fecal foreign material located within the small intestine.', 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 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': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is radiopaque material within the stomach. There is an accumulation of fecal material in the colon. There is mineral and food/fecal 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'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'cs-obstruction'}, {'id': 2290, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-foreign-body'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}], 'report_conclusions': "Conclusions:\nGastric material. This may represent food however foreign material cannot be entirely ruled out given the history of foreign body ingestion.\nSmall intestinal foreign material as described likely to pass on its own. No evidence of obstruction noted. Likely incidental.\nMild fecal retention. Rule out constipation.\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 and rule out a foreign body.\nConsider follow up radiographs to ensure passage of the described intestinal foreign body. Monitor for development of clinical signs.\nCorrelate with clinical history to rule out constipation."}

{'bday': '2018-06-10', 'name': 'Pianesi^Vesta', 'breed': 'SPINONE ITALIANO', 'owner': 'Pianesi', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Pet presented for eating part of O's tupperwear earlier today. Pet has a history of dietary indiscretion.

Concern for obstruction, foreign body.

standard

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

['Dietary indiscretion', 'Foreign body ingestion', 'Canine Medium/Large Breed']

[]

[92, 251, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2006-09-09', 'name': 'Reush^Tavis', 'breed': 'DSH', 'owner': 'Reush^Carol', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Pasadena', 'email': '[email protected]', 'clinician': 'Kristie Villicana'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presented for lethargic, not eating, and labored breathing. Per Owner P started to be lethargic and having labored breathing after eating a very small amount. P does have arthritis and get a Solensia injection regularly. No v/c/s/d. Outdoors \r\n\r\nBCS: 4/9; tacky MMs, pale\r\nAttitude: BAR\r\nEENT: nuclear sclerosis OU, no abnormal ocular and nasal discharge. Mild debris and wax AU. PDG 3/4. \r\nC/P: no murmur and/or arrhythmia auscultated, no abnormal bronchovesicular sounds x4 quadrants, femoral pulse strong and synchronous. \r\nABD: distended abdomen, no pain upon palpation. No organomegaly noted. \r\nM/S: Ambulatory x 4, hindlimb muscle atrophy \r\nNEURO: No CP deficits noted, PLR/menace/palpebral intact. \r\nINTEG: unkempt coat, no ectoparasites seen. \r\nLN: submandibular and popliteal LNs normal, unable to palpate axilla and inguinal LNs. \r\nURO/REPRO: no abnormal discharge. \r\n\r\nCBC - WBC 1.72 (3.5-20.7), LYM 0.23 (0.83-9.1), NEU 1.35 (1.63-13.37), EOS 0.02 (0.02-0.49), RBC 3.81 (7.7-12.8), HGB 4.5 (10-17), HCT 18.04 (33.7-55.4), MCHC 24.8 (27-35), PLT 20 (125-618) \r\nChem - ALT 120 (20-100), BUN 36 (10-30), GLU 187 (70-150)\r\nPCV - 16% \r\nBP - 120mmHg ', 'questions': 'Pale - anemia, shock vs other \r\nHypothermia \r\nDental tartar \r\nOA \r\n'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'ready', 'source': 'labelling'}, {'id': 1021, 'state': 'excluded', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'excluded', 'source': 'labelling'}, {'id': 1034, 'state': 'excluded', 'source': 'labelling'}, {'id': 1044, 'state': 'excluded', 'source': 'labelling'}], 'consult': [{'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 7.484, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': 'Chronic fecal retention. Rule out constipation.', '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', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1100, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly - possible pattern, panting/difficulty breathing', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 674, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Mucous membranes abnormal - pale'}, {'id': 2179, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}], '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': 880, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 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': 2606, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Chronic Fecal Material', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. 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.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Chronic Fecal Material'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hmg-mild'}], 'report_conclusions': "Conclusions:\nThe cardiac silhouette is significantly enlarged making cardiac disease a (very realistic potential) likely cause of the signs. No definitive evidence of pulmonary edema is noted; however, early congestion and'/or pulmonary hypertension cannot be excluded. - Ideally, an echocardiogram and blood pressure measurement as soon as possible ARE RECOMMENDED to investigate further. If an echo cannot be done expeditiously, then consider diuretic therapy in the interim.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\nChronic fecal retention. Rule out constipation.\n\nRecommendations:\nIdeally, an echocardiogram and blood pressure measurement (as soon as possible can done) are recommended to investigate further. If an echo cannot be done expeditiously, then consider diuretic therapy in the interim.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.\nCorrelate with clinical history to rule out constipation."}

{'bday': '2006-09-09', 'name': 'Reush^Tavis', 'breed': 'DSH', 'owner': 'Reush^Carol', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

P presented for lethargic, not eating, and labored breathing. Per Owner P started to be lethargic and having labored breathing after eating a very small amount. P does have arthritis and get a Solensia injection regularly. No v/c/s/d. Outdoors BCS: 4/9; tacky MMs, pale Attitude: BAR EENT: nuclear sclerosis OU, no abnormal ocular and nasal discharge. Mild debris and wax AU. PDG 3/4. C/P: no murmur and/or arrhythmia auscultated, no abnormal bronchovesicular sounds x4 quadrants, femoral pulse strong and synchronous. ABD: distended abdomen, no pain upon palpation. No organomegaly noted. M/S: Ambulatory x 4, hindlimb muscle atrophy NEURO: No CP deficits noted, PLR/menace/palpebral intact. INTEG: unkempt coat, no ectoparasites seen. LN: submandibular and popliteal LNs normal, unable to palpate axilla and inguinal LNs. URO/REPRO: no abnormal discharge. CBC - WBC 1.72 (3.5-20.7), LYM 0.23 (0.83-9.1), NEU 1.35 (1.63-13.37), EOS 0.02 (0.02-0.49), RBC 3.81 (7.7-12.8), HGB 4.5 (10-17), HCT 18.04 (33.7-55.4), MCHC 24.8 (27-35), PLT 20 (125-618) Chem - ALT 120 (20-100), BUN 36 (10-30), GLU 187 (70-150) PCV - 16% BP - 120mmHg

Pale - anemia, shock vs other Hypothermia Dental tartar OA

expert

['Respiratory-area']

['Dyspnoea', 'Lethargic/tired', 'Anorexia', 'Mucous membranes abnormal - pale', 'Respiratory distress']

[]

[50, 131, 606, 674, 2179]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-05-05', 'name': 'Smart^Oreo', 'breed': 'Mixed', 'owner': 'Smart^Normen', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Veterinary Urgent and Well Care Center', 'email': '[email protected]', 'clinician': 'Veterinaryurgentandwellcare'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'VOMITS EACH TIME AFTER drinking water, anorexia 22 weeks, lost weight ', 'questions': 'possible mass in abdomen ?'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1022, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1023, 'state': 'empty', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}, {'id': 1053, 'state': 'ready', 'source': 'labelling'}], 'consult': [{'id': 219, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Peritoneal - LAD, no trauma', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 249, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 79.35, 'consult_name': 'Intestines - Underlying enteropathy, chronic vomiting/diarrhea', 'diagnosis_custom_text': 'The presence of two populations of small intestine most commonly represents a mechanical obstruction, though severe enteritis cannot always be ruled out. However, given the history, the changes noted in the GI tract are most consistent with an underlying enteropathy. Differentials include chronic enteritis, IBD or neoplastic etiology. No obvious mass is observed, but it cannot be ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 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': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1932, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'In the mid to caudodorsal abdomen, there is displacement of the colon dorsally.', 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2287, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The small intestines are turgid with thickened walls. ', 'elapsedTime': 7.285, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2290, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-foreign-body', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2316, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intestine-fm', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': {'___s1_': ['intestines'], '___s2_': ['mid']}}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2521, 'source': 'labelling', 'signal_name': 'Neoplasia-area'}, {'id': 2671, 'source': 'labelling', 'signal_name': 'neoplasia-abdomen'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe small intestines are turgid with thickened walls. There is presence of distension of a portion of small intestine and a population of non-distended intestine. In the mid to caudodorsal abdomen, there is displacement of the colon dorsally. There is a wispy soft tissue opacity noted over the intestines in the mid abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fluid-distension-SI'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2290, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-foreign-body'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'fluid-wispy'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule'}, {'id': 2561, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'irregular-splenic-margins'}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass'}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': 'Conclusions:\nThe presence of two populations of small intestine most commonly represents a mechanical obstruction, though severe enteritis cannot always be ruled out. However, given the history, the changes noted in the GI tract are most consistent with an underlying enteropathy. Differentials include chronic enteritis, IBD or neoplastic etiology. No obvious mass is observed, but it cannot be ruled out.\nThere appears to be free fluid in the abdomen. Rule out low oncotic pressure, portal hypertension, a neoplastic effusion, abdominal hemorrhage or other potential sources of the free fluid identified in the abdomen.\n\nRecommendations:\nRecommend supportive care and abdominal ultrasound for further investigation. Correlate with CBC, serum biochemistry, urinalysis and a gastrointestinal panel. Repeat abdominal radiographs can be done in 12-24 hours to assess changes in intestinal gas pattern.\nFor further assessment, advise abdominocentesis analysis and cytology of the free fluid in the abdomen and abdominal ultrasound.'}

{'bday': '2016-05-05', 'name': 'Smart^Oreo', 'breed': 'Mixed', 'owner': 'Smart^Normen', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Veterinary Urgent and Well Care Center', 'email': '[email protected]', 'clinician': 'Veterinaryurgentandwellcare'}

VOMITS EACH TIME AFTER drinking water, anorexia 22 weeks, lost weight

possible mass in abdomen ?

standard

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

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

[]

[256, 606, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-04-13', 'name': 'Kozlovzky^Clyde', 'breed': 'English Springer Spaniel', 'owner': 'Kozlovzky^Marla', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'HISTORY:\r\nPatient presents for: Painful \r\nSigns and symptoms: Not wanting to use his front legs, hips seem painful, pt is laying around, only lifting up his hind end (army crawl). Shaking. \r\nEvents leading up to problem: Symptoms started yesterday. \r\nAllergies: none\r\nMedications: O did give baby Aspirin today at 6pm. Pt is on slow kill heartworm prevention ( Proheart)\r\nLast oral intake food/water: Only ate treats today, did not eat dinner, not wanting to drink. \r\nPertinent past history: Pt does have heartworms.\r\n\r\n\r\n\r\nMentation: QAR\r\nWeight: 52# 23.6kgs \r\nTemperature: 101.8\r\nPulse and quality: 120, normal \r\nRespiratory rate and effort: 44, normal \r\nMucus membrane color and character: pink/moist \r\nCapillary refill time: 2sec\r\nAny significant bleeding or trauma: none\r\nMobility: Slow to walk ', 'questions': 'R/O Osteoarthritic Lesions'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1013, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1023, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1030, 'state': 'empty', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1037, 'state': 'empty', 'source': 'labelling'}, {'id': 1039, 'state': 'empty', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}, {'id': 1054, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 233, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative M/S - Pain causing non-specific signs, normal rads, suspect neuro', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 266, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiomegaly - asymptomatic, no LAE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 424, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Repros - PMG, intact male, asymptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 620, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 2186, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 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': 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': 1635, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'prostate-visible', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 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': 2446, 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': {'___s1_': ['left', 'right']}}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}, {'id': 2518, 'source': 'ai', 'signal_name': 'oral-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe thorax is within normal limits.\n\nAbdomen\nThe prostate is 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': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 707, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'prostate-mineralization'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2254, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'utd-secondary-to-fetus'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2451, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Prostate-fp'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule'}, {'id': 2561, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins'}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)"}], 'report_conclusions': 'Conclusions:\nNo radiographic evidence for clinical signs described. Consider discomfort as a possible differential. Sources of discomfort could include partial vertebral disc herniation, abdominal or other soft tissue origins. \nIncreased size of the prostate gland is likely secondary to benign hypertrophy being an intact male. \nSpondylosis deformans noted, likely incidental.\n\nRecommendations:\nSummary:\n- Recommend supportive care for the reported clinical signs and re-evaluate as clinically indicated to further investigate possible sources of discomfort. Consider neurologic evaluation with potential myelogram +/- MRI, spinal tap if empiric therapy and conservative management are not successful.\n- Correlate with rectal exam and clinical signs for clinical significance of the enlarged prostate.\n- Correlate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2016-04-13', 'name': 'Kozlovzky^Clyde', 'breed': 'English Springer Spaniel', 'owner': 'Kozlovzky^Marla', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

HISTORY: Patient presents for: Painful Signs and symptoms: Not wanting to use his front legs, hips seem painful, pt is laying around, only lifting up his hind end (army crawl). Shaking. Events leading up to problem: Symptoms started yesterday. Allergies: none Medications: O did give baby Aspirin today at 6pm. Pt is on slow kill heartworm prevention ( Proheart) Last oral intake food/water: Only ate treats today, did not eat dinner, not wanting to drink. Pertinent past history: Pt does have heartworms. Mentation: QAR Weight: 52# 23.6kgs Temperature: 101.8 Pulse and quality: 120, normal Respiratory rate and effort: 44, normal Mucus membrane color and character: pink/moist Capillary refill time: 2sec Any significant bleeding or trauma: none Mobility: Slow to walk

R/O Osteoarthritic Lesions

expert

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

['Hyporexia', 'Tremors/shaking/trembling', 'Pain', 'Canine Medium/Large Breed']

[]

[607, 620, 2186, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-05-08', 'name': 'Watson^Cooper', 'breed': 'Bulldog French', 'owner': 'Watson^Jesse', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'clinician': 'FVEPH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented acute lameness of the right front limb after jumping off a slide. \r\nNo current medications. \r\nWas doing well previously. ', 'questions': 'Fractrue vs Open dx'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'partial', 'source': 'labelling'}, {'id': 1030, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1037, 'state': 'empty', 'source': 'labelling'}, {'id': 1038, 'state': 'empty', 'source': 'labelling'}, {'id': 1039, 'state': 'empty', 'source': 'labelling'}, {'id': 1054, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 392, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 32.674, 'consult_name': 'M/S GEN - acute fracture', 'diagnosis_custom_text': 'Evidence of appendicular fracture as described with associated soft tissue swelling.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 65, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Collapsed'}, {'id': 2342, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'lameness-acute'}, {'id': 2346, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lameness-forelimb'}, {'id': 2548, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'falling off bed/ Fallen off something'}], 'findings': [{'id': 17, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': {'___s1_': ['displaced', 'closed', 'complete', 'oblique'], '___s2_': ['right', 'distal', 'humeral epiphysis']}}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the right', 'elbow']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2446, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [{'id': 1306, 'state': 'normal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Fracture'}], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is a displaced, closed, complete and oblique fracture of the right, distal and humeral epiphysis. There is soft tissue swelling involving the right and elbow. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 722, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesions-of-the-third-phalanx'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid'}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity'}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)"}], 'report_conclusions': 'Conclusions:\nLateral condylar fracture of the right distal humerus with associated soft tissue swelling.\n\nRecommendations:\nRecommend analgesics and consultation with an orthopedic surgeon. Surgical stabilization is recommended.'}

{'bday': '2023-05-08', 'name': 'Watson^Cooper', 'breed': 'Bulldog French', 'owner': 'Watson^Jesse', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Presented acute lameness of the right front limb after jumping off a slide. No current medications. Was doing well previously.

Fractrue vs Open dx

expert

['Musculoskeletal-area']

['Acute lameness', 'Forelimb lameness', 'Jumped off something']

['Collapsed']

[2342, 2346, 2548]

[65]

[]

['Fracture']

[]

[1306]

[]

[]

[]

[]

{'patient': {'bday': '2019-04-24', 'name': 'MAGANA^GATO', 'breed': 'DSH', 'owner': 'MAGANA^JESSICA', 'gender': 'F', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Emergency Pet Hospital of Glendora', 'email': '[email protected]', 'clinician': 'EPHG'}, 'accept_tos': 'true', 'consult_info': {'case_info': '5 yr 11 mo intact female Long history of small stature, very thin body condition, intermittent vomiting. Presented for acute purulent vaginal discharge. Hypokalemia and lack of stress leucogram (normal WBC count) on labwork. UA noted hematuria but not pyuria and not bactiuria. \r\nBrief US noted very abnormal architecture to kidneys and fluid filled, nonmotile loops in proximity to bladder assessed as abnormal uterus', 'questions': 'Pyometra ? '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': ['renal-mineralization-fp', 'irregular-kidney']}, 'groups': [{'id': 1013, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'partial', 'source': 'labelling'}, {'id': 1028, 'state': 'inprogress', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 662, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Repros - UTD, pyometra', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 844, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Bladder Feline - Distended bladder, no stones, blocked cat', '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': 274, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Urinating abnormally'}, {'id': 278, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vaginal discharge'}, {'id': 698, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Cachexia'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2477, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Normal Body Condition Score (BCS)'}], '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': 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': 1633, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, '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': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2265, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urinary-bladder-distension', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 143, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Gastroenteritis'}, {'id': 536, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hypokalaemia'}, {'id': 1954, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pyometra'}, {'id': 2192, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Haematuria'}], 'questions': [{'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}, {'id': 2514, 'source': 'labelling', 'signal_name': 'Reproductive-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [{'id': 1154, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'abdominal-ultrasound'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is distension of the urinary bladder. Distended tubular strneenys appear smaller than normal. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is a transitional vertebra at L7. The observed musculoskeletal system is otherwise within normal limits. No other abnormal musculoskeletal findings are noted.\n\nGeneral\nThe remaining structures are within normal limits. No abnormal general findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 707, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'prostate-mineralization'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2254, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'utd-secondary-to-fetus'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'urinary-bladder-distension'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body'}, {'id': 2319, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone-na'}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2451, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Prostate-fp'}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': 'Conclusions:\nThe uterus is distended with fluid, and given the clinical signs, pyometra is a primary differential. Mucometra, hydrometra, or a neoplastic process cannot be ruled out. \nThe urinary bladder is markedly distended with no evidence of cystic calculi. Radiographic changes and clinical signs are consistent with a urethral obstruction. FLUTD is considered likely, however radiographs cannot definitively rule out the presence of radiolucent stones.\nThe small kidneys could be a normal variant or associated with chronic kidney disease.\n\nRecommendations:\nSummary:\nConsider abdominal ultrasound and cytology of the vaginal discharge for confirmation of pyometra. Ovariohysterectomy is recommended if the patient is stable.\nPerform a biochemistry profile and electrolytes to assess renal function. In addition, check urination and relieving the urinary obstruction, if considered present. Correlate with urinalysis +/- culture and consider abdominal ultrasound for further investigation as radiographs do not rule out radiolucent stones, urinary sediment, or polyps.'}

{'bday': '2019-04-24', 'name': 'MAGANA^GATO', 'breed': 'DSH', 'owner': 'MAGANA^JESSICA', 'gender': 'F', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

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

5 yr 11 mo intact female Long history of small stature, very thin body condition, intermittent vomiting. Presented for acute purulent vaginal discharge. Hypokalemia and lack of stress leucogram (normal WBC count) on labwork. UA noted hematuria but not pyuria and not bactiuria. Brief US noted very abnormal architecture to kidneys and fluid filled, nonmotile loops in proximity to bladder assessed as abnormal uterus

Pyometra ?

expert

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

['Vomiting', 'Urination abnormal - hematuria', 'Discharge - vaginal', 'Cachexia', 'Feline', 'Normal Body Condition Score (BCS)']

[]

[256, 274, 278, 698, 2327, 2477]

[]

['Gastroenteritis', 'Hypokalaemia', 'Pyometra', 'Haematuria']

[]

[143, 536, 1954, 2192]

[]

['Abdominal ultrasound']

[]

[1154]

[]

{'patient': {'bday': '2013-04-29', 'name': 'Brinton^SHORTY', 'breed': 'Yorkshire Terrier', 'owner': 'Brinton^Marcia', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P being hospitalized treating for CKD/azotemia. Had an abdominal ultrasound completed which identified B lines caudal lung fields. Radiographs performed to further evaluate for pulmonary pathology.', 'questions': 'complete evaluation'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['summation-structures', 'focal-loss-detail']}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'rules'}, {'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'ready', 'source': 'rules'}, {'id': 1053, 'state': 'partial', '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': 213, 'state': 'normal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Negative - No thoracic masses', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 266, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiomegaly - asymptomatic, no LAE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 307, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Resp Bronchial - Bronchointerstitial pattern and cough', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, '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': 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': 847, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Bladder - Urine retention, no obstruction, dog', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2406, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'survey films'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 2, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-bronchial-interstitial', 'custom_fields': None}, {'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 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': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 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_': ['T13-L1']}}, {'id': 2314, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'tracheal-displacement', 'custom_fields': {'___s1_': ['dorsal'], '___s2_': ['intra-thoracic']}}, {'id': 2322, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-mineralization-na', 'custom_fields': None}, {'id': 2372, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs-na', 'custom_fields': {'___s1_': ['border effacement of cardiac silhouette']}}, {'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': 520, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Azotaemia (unspecified)'}, {'id': 2167, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Chronic kidney (renal) disease (CRF, CKD) (azotaemia unspecified)'}], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}], 'recommendations': [{'id': 1154, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'abdominal-ultrasound'}], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart. The VHS cannot be calculated due to border effacement of cardiac silhouette. There is mildly increased opacity in the lung fields indicative of a bronchointerstitial pattern. There is dorsal displacement of the intra-thoracic trachea. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. Visibility of the kidneys is limited preventing thorough evaluation. There is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at T13-L1. There is spondylosis deformans noted in the thoracolumbar spine. There is degenerative changes affecting the left and right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'urinary-bladder-distension'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2314, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'tracheal-displacement'}, {'id': 2322, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'kidney-mineralization-na'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp'}, {'id': 2372, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'heart-vhs-na'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nNo evidence of pulmonary metastatic disease.\nThe bronchointerstitial pattern identified is typically associated with benign changes including age-related changes, respiratory phase, or artifact; less likely associated with pathology. Bronchitis and dynamic airway collapse cannot be ruled out.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nThe cardiac silhouette appears enlarged, with no evidence of left atrial enlargement and no evidence of decompensation.\nThe urinary bladder is distended. Suspected to be urinary retention secondary to anxiety or lack of access to urinate outside.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\nDegenerative joint disease of the hips.\n\nRecommendations:\nRecommend symptomatic treatment. If the patient does not respond to treatment, endoscopic evaluation, lower airway sampling, and respiratory PCR may be considered for further investigation.\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.\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.\nBiochemistry profile and urinalysis may be considered if there is concern for calculi.\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 degenerative joint disease of the hips.'}

{'bday': '2013-04-29', 'name': 'Brinton^SHORTY', 'breed': 'Yorkshire Terrier', 'owner': 'Brinton^Marcia', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

P being hospitalized treating for CKD/azotemia. Had an abdominal ultrasound completed which identified B lines caudal lung fields. Radiographs performed to further evaluate for pulmonary pathology.

complete evaluation

expert

['Respiratory-area']

['Screening radiographs', 'Canine Small Breed']

[]

[2406, 2654]

[]

['Azotemia (unspecified)', 'Chronic kidney disease (CKD)']

[]

[520, 2167]

[]

['Abdominal ultrasound']

[]

[1154]

[]

{'patient': {'bday': '2022-09-15', 'name': 'MEDINA^LUKA^^^', 'breed': 'Siamese ', 'owner': 'Yadira Medina ', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Doral Centre Animal Hospital', 'email': '[email protected]', 'clinician': 'DORAL CENTRE ANIMAL HOSPITAL'}, 'accept_tos': 'true', 'consult_info': {'case_info': "1.5 YO MC SIAM\r\n\r\nAccording to the owners, the cat was at his niece's house, because she was taking care of him. They have no security, but there are strong suspicions that the cat ate something strange that poisoned it.\r\n\r\nThe owner says that when she went to look for them the cat was breathing hard and the owner noticed that the cat's face was swollen and its eyes were very closed.\r\n\r\nThe niece told her that the cat had had a vomiting episode.\r\n\r\nThe cat has a history of eating strange things, a month ago he ate his owner's hair, favorably the owner says that he expelled them rectally.\r\n\r\nThe owner does not know if he has eaten today because she picked him up from her niece's house and came straight to the hospital.\r\n\r\nPE:\r\nPresenting for emesis and possible intoxication…\r\nBAR, Euhydrated, on intake hypersalivation, mild tense abdomen, presence of some gastric contents, penis ( Cyanotic), bladder medium size, urinary bladder expressable, cloudy urine possible retention vs partial obstruction.. Blood work hyperglicemia 347, Albumi e 3.9, UA pending for results. ", 'questions': 'Foreign body ( pylorus) / small intestine?\r\n\r\n'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': ['lung-bronchial-interstitial', 'lung-diffuse-parenchymal', 'parenchymal-pattern-fp', 'pleural-fissure', 'mediastinal-gas-c', 'subcutaneous-gas', 'thymus-present', 'pulmonary-vessel-mineralization']}, 'groups': [{'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1021, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 239, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Small FB', 'diagnosis_custom_text': 'Small suspicious gastric foreign body which may or may not pass on its own at the pylorus with some gastric gas distension.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign body and gas.', 'recommendation_custom_fields': None}, {'id': 244, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Poss 2 pops, no obvious FB', 'diagnosis_custom_text': 'Presence of possible two populations of small intestine most commonly represents a mechanical obstruction though severe enteritis cannot always be ruled out. No clear material within the small intestines although cannot be entirely ruled out.', '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': 2179, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}], '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': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2316, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intestine-fm', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [{'id': 527, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hyperglycaemia'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is presence of distension of a portion of small intestine and a population of non-distended intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}], 'report_conclusions': 'Conclusions:\nPresence of possible two populations of small intestine most commonly represents a mechanical obstruction though severe enteritis cannot always be ruled out. No clear material within the small intestines although cannot be entirely ruled out.\nSmall suspicious gastric foreign body which may or may not pass on its own at the pylorus with some gastric gas distension.\n\nRecommendations:\nRecommend abdominal ultrasound for confirmation of 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.\nRecommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign body and gas.'}

{'bday': '2022-09-15', 'name': 'MEDINA^LUKA^^^', 'breed': 'Siamese ', 'owner': 'Yadira Medina ', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Doral Centre Animal Hospital', 'email': '[email protected]', 'clinician': 'DORAL CENTRE ANIMAL HOSPITAL'}

1.5 YO MC SIAM According to the owners, the cat was at his niece's house, because she was taking care of him. They have no security, but there are strong suspicions that the cat ate something strange that poisoned it. The owner says that when she went to look for them the cat was breathing hard and the owner noticed that the cat's face was swollen and its eyes were very closed. The niece told her that the cat had had a vomiting episode. The cat has a history of eating strange things, a month ago he ate his owner's hair, favorably the owner says that he expelled them rectally. The owner does not know if he has eaten today because she picked him up from her niece's house and came straight to the hospital. PE: Presenting for emesis and possible intoxication… BAR, Euhydrated, on intake hypersalivation, mild tense abdomen, presence of some gastric contents, penis ( Cyanotic), bladder medium size, urinary bladder expressable, cloudy urine possible retention vs partial obstruction.. Blood work hyperglicemia 347, Albumi e 3.9, UA pending for results.

Foreign body ( pylorus) / small intestine?

standard

['Gastrointestinal-area']

['Vomiting', 'Respiratory distress']

[]

[256, 2179]

[]

['Hyperglycemia']

[]

[527]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-07-18', 'name': 'Moshi', 'breed': 'Domestic Shorthair', 'owner': 'Tina', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Princess Animal Hospital ', 'email': '[email protected]', 'clinician': 'Princess Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented due to constant drooling, anorexia of 4 days, not himself, hiding and constant vomiting yellow bile. Outdoor/indoors, no previous concerns. CBC and CHEM no significant changes, T4 high suspecting hyperthyroidism. \r\nNot on any current medications. Patient is extremely fractious, physical examination was performed with patient under sedation. Bladder firm and distended, not able to be expressed. No other abnormalities', 'questions': 'Urolith at bladder ?\r\nDoes it seems like a mass effect on the right side in the abdomen? \r\nAFAST: normal '}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1023, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'partial', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}], 'consult': [{'id': 195, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spleen feline - Visible', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 210, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Cardiomegaly feline - asymptomatic, no clinical signs', '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': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, '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': 431, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Renal - RMN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1141, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Bladder - UBC, no URC, concern for obstruction', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 22, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Aggressive'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 531, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Hypersalivation'}, {'id': 606, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2326, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'sedated'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2467, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Bladder distention'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-mineralization', 'custom_fields': {'___s1_': ['left']}}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 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': 'The spleen is visualized in the cranioventral abdomen creating a pseudo mass effect in the abdomen.', 'signal_name': 'spleen-visible', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 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': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [{'id': 575, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hyperthyroidism'}], 'questions': [{'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}], 'recommendations': [{'id': 1099, 'state': 'normal', 'source': 'labelling', 'recommendation_name': 'cbc-chemistry-profile'}, {'id': 1154, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'abdominal-ultrasound'}, {'id': 1189, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 't4-levels'}], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart. The pulmonary vessels appear congested. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe spleen is visualized in the cranioventral abdomen creating a pseudo mass effect in the abdomen. There is increased opacity noted over the silhouette of the left kidney. There is a focal increased opacity is noted over the silhouette of the urinary bladder. There is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. There is degenerative joint disease affecting the left and right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'urinary-bladder-distension'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp'}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': 'Conclusions:\nCystic calculi identified. No urethral calculi noted but moderate distention of the bladder is concerning for obstruction.\nConcern for an enlarged cardiac silhouette, feline cardiac disease may be subtle without obvious changes to the cardiac silhouette. No evidence of failure is identified. Rule out incidental finding versus cardiomyopathy.\nThe opacity overlying the renal silhouette is representative of renal mineralization and likely chronic renal disease.\nVisualization of the spleen may be normal variation or due to infiltrative disease such as lymphosarcoma, mast cell neoplasia, or other.\nDegenerative joint disease of the hips.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nEnsure the patient is able to urinate, if not, a urinary catheter should be placed to ensure urethral patency. Consider dissolution diet or cystotomy based on additional clinical input. Abdominal ultrasound may also yield more information.\nConsider an echocardiogram to rule out a cardiomyopathy.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for renal disease.\nConsider abdominal ultrasound to further investigate clinical significance of the visualized spleen and if enlargement is confirmed an FNA sample is recommended.\nCorrelate with orthopedic examination for further evaluation of degenerative joint disease of the hips.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2010-07-18', 'name': 'Moshi', 'breed': 'Domestic Shorthair', 'owner': 'Tina', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Patient presented due to constant drooling, anorexia of 4 days, not himself, hiding and constant vomiting yellow bile. Outdoor/indoors, no previous concerns. CBC and CHEM no significant changes, T4 high suspecting hyperthyroidism. Not on any current medications. Patient is extremely fractious, physical examination was performed with patient under sedation. Bladder firm and distended, not able to be expressed. No other abnormalities

Urolith at bladder ? Does it seems like a mass effect on the right side in the abdomen? AFAST: normal

standard

['urinary-area']

['Aggressive', 'Vomiting', 'Hypersalivation', 'Anorexia', 'Sedated', 'Feline', 'Bladder distension']

[]

[22, 256, 531, 606, 2326, 2327, 2467]

[]

['Hyperthyroidism']

[]

[575]

[]

['Abdominal ultrasound', 'Total T4 levels']

['CBC/chemistry profile - normal']

[1154, 1189]

[1099]

{'patient': {'bday': '2017-01-18', 'name': 'Sams^ALBUS', 'breed': 'Siamese', 'owner': 'Sams^Heather', 'gender': 'O', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'AEHVolusia'}, 'accept_tos': 'true', 'consult_info': {'case_info': "presented for vomiting 3 times this morning, multiple cats in the household not sure if urinating and groaning. P seams uncomfortable and has a large firm bladder on presentation. blood work showed elevated kidney values and white blood cells. slightly lowered calcium values. P has a history of UTI's ", 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 428, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'Renomegaly', 'custom_fields': None}, {'id': 833, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': None, 'consult_name': 'Rugal folds vs gastric material/mass', 'custom_fields': None}, {'id': 846, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'Urinary sediment', 'custom_fields': None}, {'id': 890, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'small effusion vs peritonitis', 'custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2330, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'adr'}, {'id': 2467, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Bladder distention'}], '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': 797, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'The right kidney measures slightly above normal range. ', 'elapsedTime': 9.497, 'signal_name': 'kidney-renomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 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': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [{'id': 520, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Azotaemia (unspecified)'}, {'id': 532, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hypocalcaemia'}, {'id': 2229, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Urinary tract infection (UTI)'}], 'questions': [{'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [{'id': 137, 'source': 'labelling', 'recommendation_name': 'Blood test: Biochemistry - basic profile'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach. There is loss of serosal detail in the abdomen. The right kidney measures slightly above normal range. Increased opacity is noted over the silhouette of the urinary bladder. There is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'urinary-bladder-distension'}], 'report_conclusions': '* The kidneys are at the upper limits of normal which may represent an AKI. Other differentials include pyelonephritis, neoplasia, and hydronephrosis.\n - Correlate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation. \n* Mineralization noted over the urinary bladder may be consistent with urinary sediment. \n - Correlate with urinalysis. Abdominal ultrasound may also be considered for further investigation. \n* The area in the abdomen with unclear organ margins and slight loss of serosal detail may represent a small amount of abdominal fluid or a focal peritonitis. \n - An abdominal ultrasound could be considered for further investigation.\n* Soft tissue opacity noted in the stomach. This may represent rugal folds, however thickening of the gastric wall, gastric mass, or gastric material cannot be ruled out. \n - Abdominal ultrasound should be considered for further investigation. Endoscopy may also be beneficial. '}

{'bday': '2017-01-18', 'name': 'Sams^ALBUS', 'breed': 'Siamese', 'owner': 'Sams^Heather', 'gender': 'O', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': 'null'}

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

presented for vomiting 3 times this morning, multiple cats in the household not sure if urinating and groaning. P seams uncomfortable and has a large firm bladder on presentation. blood work showed elevated kidney values and white blood cells. slightly lowered calcium values. P has a history of UTI's

expert

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

['Vomiting', "Ain't doin right (ADR)", 'Bladder distension']

[]

[256, 2330, 2467]

[]

['Azotemia (unspecified)', 'Hypocalcaemia', 'Urinary tract infection (UTI)']

[]

[520, 532, 2229]

[]

[]

['Blood test: Chemistry - basic profile']

[]

[137]

{'patient': {'bday': '2020-06-30', 'name': 'Defensor, Bambi^Hera', 'breed': 'Havanese, Beige', 'owner': 'Defensor, Bambi', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': 'TLC Veterinary Clinic (Olympia, WA) ', 'email': '[email protected]', 'clinician': 'TLC Veterinary Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': "O adopted pet 1 yr. ago, thought ~3 yrs. old. Dr. thought with exam could be closer to 9 yrs. old. O reports pet has had 3 heat cycles since July '22. Vomiting and loose stool for 3 days, started getting better today. O did feed cooked chicken bones yesterday. \r\nBCS- 6/9 wt.15#5.5oz\r\nT-100.9 P-120 R-20\r\nCRT/MM-<2/pink, moist\r\nH/L-Normal bronchovesicular sounds; Normal respiration, No arrhythmia; No murmur\r\nEENT-(OU) eyes clear, (AU) ears no exudate seen, no nasal discharge,\r\ndental calculus, missing all upper incisers\r\nCoat/Skin-no fleas seen, mass Lt of mid dorsum(28mm)\r\nM/S-walking normally, normal muscle tone\r\nGI/UG-Distended abd., purulent discharge from vulva \r\n abdomen palpation-not tense and no pain\r\nNeuro- BAR, no neurological deficits seen\r\nL/N-lymph nodes normal size", 'questions': 'R/O pyometra'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 185, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'Hepatomegaly- severe', 'custom_fields': None}, {'id': 239, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': None, 'consult_name': 'Gastric foreign body- small', 'custom_fields': None}, {'id': 251, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'custom_text': None, 'consult_name': 'Colonic foreign body', 'custom_fields': None}, {'id': 422, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'Pyometra/early pregnancy', 'custom_fields': None}, {'id': 428, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': '* The kidneys are at the upper limits of normal which may represent an AKI. Other differentials include pyelonephritis, neoplasia, and hydronephrosis.\n - Correlate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation. ', 'consult_name': 'Renomegaly', 'custom_fields': None}, {'id': 667, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'custom_text': None, 'consult_name': 'Subcutaneous/cutaneous mass', 'custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 696, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Discharge - vaginal'}, {'id': 2175, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart-Murmur'}, {'id': 2177, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Arrhythmia'}], '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': 740, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'colon-foreign-material', 'custom_fields': {'___s1_': ['bone like'], '___s2_': ['ascending']}}, {'id': 797, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'kidney-renomegaly', 'custom_fields': {'___s1_': ['left']}}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is radiopaque and mineral material within the stomach. ', 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1633, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, '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': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is soft tissue mass with mineralisation on the dorsal thoracic wall. ', 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 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': 2300, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2514, 'source': 'labelling', 'signal_name': 'Reproductive-area'}], 'recommendations': [{'id': 950, 'source': 'labelling', 'recommendation_name': 'Reproduction management - ovulation assessment'}], 'report_findings': 'Thorax\n* No left atrial enlargement is present.\n* The cardiac silhouette is normal in size and shape. \n* Lung fields are clear. \n* No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. \n* The pleural space is normal. \n* The diaphragm is unremarkable. \n\nAbdomen\n* The liver appears enlarged. \n* There is radiopaque and mineral material within the stomach. \n* There is bone like opacity foreign material located within the ascending colon. \n* The small intestines appear within normal limits. \n* There is no evidence of a mass or mass effect within the abdomen. \n* The serosal detail of the abdomen is normal. \n* The left kidney measures above normal range. \n* The urinary bladder is within normal limits. \n* No evidence of urolithiasis. \n* Distended tubular structures resembling uterine horns are noted within the abdomen. \n\nMusculoskeletal\n* No appendicular fractures are noted. \n* No evidence of rib fracture is observed.\n* No aggressive osseous lesions identified. \n* The spine is radiographically normal. \n* No significant intervertebral disc space narrowing is identified. \n* There is soft tissue mass with mineralisation on the dorsal thoracic wall. \n* There is adequate acetabular coverage of the femoral heads with no subluxation noted. \n* There are no degenerative changes noted in the coxofemoral joints. \n* The coxofemoral joints and pelvis are unremarkable.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'colon-foreign-material'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'uterus-distension'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb'}], 'report_conclusions': '* The uterus is distended with fluid. Early pregnancy, pyometra, mucometra and hydrometra should be considered.\n - Consider abdominal ultrasound for confirmation, otherwise ovariohysterectomy is recommended. \n* Hepatomegaly consistent with active infiltration. Rule out neoplasia versus inflammatory or benign causes. \n - Correlate with blood work for clinical significance. Consider abdominal ultrasound for further investigation.\n* The kidneys are at the upper limits of normal which may represent an AKI. Other differentials include pyelonephritis, neoplasia, and hydronephrosis.\n - Correlate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation. \n* Gastric foreign body which may or may not pass on its own.\n - Recommend supportive care and follow up radiographs in 12-24 hours. \n* Colonic foreign body as described. \n - Monitor for passage of foreign body in the stool.\n* Subcutaneous/cutaneous mass as described. \n - Correlate with physical exam and consider tissue sampling to determine etiology. '}

{'bday': '2020-06-30', 'name': 'Defensor, Bambi^Hera', 'breed': 'Havanese, Beige', 'owner': 'Defensor, Bambi', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

{'name': 'TLC Veterinary Clinic (Olympia, WA) ', 'email': '[email protected]', 'clinician': 'TLC Veterinary Clinic'}

O adopted pet 1 yr. ago, thought ~3 yrs. old. Dr. thought with exam could be closer to 9 yrs. old. O reports pet has had 3 heat cycles since July '22. Vomiting and loose stool for 3 days, started getting better today. O did feed cooked chicken bones yesterday. BCS- 6/9 wt.15#5.5oz T-100.9 P-120 R-20 CRT/MM-<2/pink, moist H/L-Normal bronchovesicular sounds; Normal respiration, No arrhythmia; No murmur EENT-(OU) eyes clear, (AU) ears no exudate seen, no nasal discharge, dental calculus, missing all upper incisers Coat/Skin-no fleas seen, mass Lt of mid dorsum(28mm) M/S-walking normally, normal muscle tone GI/UG-Distended abd., purulent discharge from vulva abdomen palpation-not tense and no pain Neuro- BAR, no neurological deficits seen L/N-lymph nodes normal size

R/O pyometra

expert

['Reproductive-area']

['Diarrhea', 'Vomiting', 'Discharge - vaginal']

['Heart Murmur', 'Arrhythmia']

[76, 256, 696]

[2175, 2177]

[]

[]

[]

[]

[]

['Reproduction management - ovulation assessment']

[]

[950]

{'patient': {'bday': '2019-07-17', 'name': 'Shipman^Bella', 'breed': 'Maltese', 'owner': 'Shipman^Melinda', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presented after o noted difficulty breathing and laying lateral this afternoon. Pt has been inappetant since yesterday afternoon. No v/d noted.', 'questions': 'abdominal mass'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'empty', 'source': 'rules'}, {'id': 1020, 'state': 'partial', 'source': 'rules'}, {'id': 1021, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1022, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 203, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Peritoneal - Mass unknown, significant fluid', 'diagnosis_custom_text': 'There is presence of peritoneal effusion and evidence of an abdominal mass of which the origin maybe associated with liver.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2179, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'In the cranioventral abdomen, there is displacement of small intestines and the colon, caudally.', 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 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': [], 'questions': [{'id': 2663, 'source': 'ai', 'signal_name': 'Resp signs - general'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nIn the cranioventral abdomen, there is displacement of small intestines and the colon caudally. There is loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nThere is presence of peritoneal effusion and evidence of an abdominal mass of which the origin maybe associated with liver.\n\nRecommendations:\nAdvise abdominocentesis to collect fluid for cytology and analysis, consider abdominal ultrasound +/- CT scan to further investigate the abdominal mass.'}

{'bday': '2019-07-17', 'name': 'Shipman^Bella', 'breed': 'Maltese', 'owner': 'Shipman^Melinda', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

P presented after o noted difficulty breathing and laying lateral this afternoon. Pt has been inappetant since yesterday afternoon. No v/d noted.

abdominal mass

expert

['Resp signs - general']

['Anorexia', 'Respiratory distress', 'Canine Small Breed']

[]

[606, 2179, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-04-27', 'name': 'Cleveland^COCO', 'breed': 'Cocker Spaniel', 'owner': 'Cleveland^Elaine', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presents for GI upset. Pt vomited 1 time last night and vomited again this AM and is having diarrhea. Possible dietary indiscretion.', 'questions': 'na'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 185, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly- severe(ill)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 246, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Intestines - Gastroenterocolitis(vom+/diarroea)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 273, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Cardiac - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 364, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, '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': 899, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Splenomegaly - Mild', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 92, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2560, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'splenic-nodule', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart measures above the normal range. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The spleen appears prominent. There appears to be a nodule associated with the silhouette of the splenic margin. There is radiopaque material within the stomach. 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 left and right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2229, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'splenic-nodule'}, {'id': 2561, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins'}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': "Conclusions:\nGiven the normal appearance of the GI tract and clinical history provided, clinical signs are most consistent with a gastroenterocolitis. No obstruction is noted. Differentials include inflammatory, dietary indiscretion, toxin, infectious or parasitic causes.\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\nHepatomegaly consistent with active infiltration. Rule out neoplasia versus inflammatory or benign causes.\nThe spleen appears mildly enlarged. This may be secondary to congestion and/or sedation though other benign etiologies (such as EMH and lymphoid hyperplasia), or infiltrative disease (round cell neoplasia) and infectious etiologies (ie: tick borne diseases) cannot be ruled out.\nThe VHS is calculated above normal range, however the cardiac silhouette appears to be normal in size. This does not rule out cardiomyopathy.\nOsteoarthritis of the hips secondary to hip dysplasia.\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 information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling , or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nConsider abdominal ultrasound for further investigation of the mildly enlarged spleen to evaluate for potential benign etiologies, infiltrative disease, and infectious etiologies.\nConsider an echocardiogram and blood pressure measurment for further investigation to rule out underlying cardiac disease.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis secondary to hip dysplasia."}

{'bday': '2017-04-27', 'name': 'Cleveland^COCO', 'breed': 'Cocker Spaniel', 'owner': 'Cleveland^Elaine', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Presents for GI upset. Pt vomited 1 time last night and vomited again this AM and is having diarrhea. Possible dietary indiscretion.

na

expert

['Gastrointestinal-area']

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

[]

[76, 92, 256, 2656]

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[]

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[]

{'patient': {'bday': '2017-12-16', 'name': 'BEAN', 'breed': 'CORGI', 'owner': 'SMITHSON', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'clinician': 'R. Donnaway'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Pt was presented for hyporexia since this morning, bloody stool started tonight (very liquid and bloody with mucus), emesis (once this morning with food shortly after eating), and lethargy. No known toxic or fb ingestion. Owner thinks pt's last DAPP vaccine was about 2 years ago but is unsure when the next one is due.\r\n\r\nBAR, nervous, eent: pink mm w/ normal crt, tacky mm, dental tartar and gingivitis, h/l: no murmur or arrhythmia, clear lung sounds, abdomen: tense at cranial abdomen, ms/int: wnl, urogenital: both testicles are present. Pt defecated with moderate amount of very bloody pudding consistency diarrhea in the cage. \r\nParvo test, Fecal exam, Full blood work pending ", 'questions': 'n/a'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['fluid-distension-SI', 'ileus-diffuse-distension-SI']}, 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 424, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Repros - PMG, intact male', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 714, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 186.168, 'consult_name': 'Colon - Hemorrhagic gastro enteritis.', 'diagnosis_custom_text': 'A cause for the described clinical signs is not determined from the radiographs. No evidence of a foreign body or intestinal obstruction is noted in the radiographs provided. Given the history, hemorrhagic diarrhea syndrome is considered as a primary differential. Colitis due to stress, dietary indiscretion, parasite, or other causes cannot be ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound. Recommend fecal testing and blood work for further investigation. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 77, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhoea with blood'}, {'id': 92, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Eaten something shouldn't have"}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 622, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2177, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Arrhythmia'}, {'id': 2357, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'disease-dental'}, {'id': 2463, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart murmur'}, {'id': 2468, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'BAR - Bright Alert Responsive'}], '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': 744, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1635, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'prostate-visible', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'internal_notes': "Pt was presented for hyporexia since this morning, bloody stool started tonight (very liquid and bloody with mucus), emesis (once this morning with food shortly after eating), and lethargy. No known toxic or fb ingestion. Owner thinks pt's last DAPP vaccine was about 2 years ago but is unsure when the next one is due.\n\nBAR, nervous, eent: pink mm w/ normal crt, tacky mm, dental tartar and gingivitis, h/l: no murmur or arrhythmia, clear lung sounds, abdomen: tense at cranial abdomen, ms/int: wnl, urogenital: both testicles are present. Pt defecated with moderate amount of very bloody pudding consistency diarrhea in the cage.\nParvo test, Fecal exam, Full blood work pending", 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach. The prostate is prominent. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 707, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'prostate-mineralization'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction'}, {'id': 745, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'uterus-distension-old'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2451, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Prostate-fp'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}], 'report_conclusions': "Conclusions:\nA cause for the described clinical signs is not determined from the radiographs. No evidence of a foreign body or intestinal obstruction is noted in the radiographs provided. Given the history, hemorrhagic diarrhea syndrome is considered as a primary differential. Colitis due to stress, dietary indiscretion, parasite, or other causes cannot be ruled out.\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\nIncreased size of the prostate gland is likely secondary to benign hypertrophy being an intact male.\n\nRecommendations:\nMedical management of the clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound. Recommend fecal testing and blood work for further investigation.\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nCorrelate with rectal exam and clinical signs for clinical significance of the enlarged prostate."}

{'bday': '2017-12-16', 'name': 'BEAN', 'breed': 'CORGI', 'owner': 'SMITHSON', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Pt was presented for hyporexia since this morning, bloody stool started tonight (very liquid and bloody with mucus), emesis (once this morning with food shortly after eating), and lethargy. No known toxic or fb ingestion. Owner thinks pt's last DAPP vaccine was about 2 years ago but is unsure when the next one is due. BAR, nervous, eent: pink mm w/ normal crt, tacky mm, dental tartar and gingivitis, h/l: no murmur or arrhythmia, clear lung sounds, abdomen: tense at cranial abdomen, ms/int: wnl, urogenital: both testicles are present. Pt defecated with moderate amount of very bloody pudding consistency diarrhea in the cage. Parvo test, Fecal exam, Full blood work pending

expert

['Gastrointestinal-area']

['Diarrhoea with blood', 'Lethargic/tired', 'Vomiting', 'Hyporexia', 'Pain - abdominal', 'Dental disease', 'Bright Alert Responsive (BAR)']

['Dietary indiscretion', 'Arrhythmia', 'Heart murmur']

[77, 131, 256, 607, 622, 2357, 2468]

[92, 2177, 2463]

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{'patient': {'bday': '2008-05-12', 'name': 'GURSTEIN^NICHOLAS', 'breed': 'DLH', 'owner': 'GURSTEIN^BARRY', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Toluca Burbank Dog and Cat Hospital', 'email': '[email protected]', 'clinician': '[email protected]'}, 'accept_tos': '1', 'consult_info': {'case_info': "Patient presented for intermttent vomiting for 1 week and soft stool. It also appeared that he had a swollen nose/forehead which the owner hadn't noticed. The owner said it does look swollen compared to how her used to look but not sure when it changed", 'questions': '\r\n1. Is there any apparent cause of vomiting?\r\n2. Is the abnormal appearing skull of any concern?\r\n'}}