Datasets:

itaylotan

/

previous_cycle_flow_artifacts__dataset

like 0

{'patient': {'bday': '2013-09-15', 'name': 'Chase^INDY', 'breed': 'German Shepherd', 'owner': 'Chase^Jill', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'La Cumbre Animal Hospital', 'email': '[email protected]', 'clinician': 'Tech'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Mass in abdomen and fluids in lungs.', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 185, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Hepatomegaly- severe(ill)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 202, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'elapsedTime': 6.77, 'consult_name': 'Peritoneal - Mass unknown, scant fluid', 'diagnosis_custom_text': 'Suspected abdominal mass of unknown origin. Given the location, origination from a specific organ cannot be definitively determined. The focal wispy appearance in the abdomen may represent a small volume of peritoneal effusion or peritonitis.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 374, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Forelimb Elbow - arthritis, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 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': 664, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 13.884, 'consult_name': 'Resp Pleural - pleural effusion, CVP/CDP/DPP', 'diagnosis_custom_text': 'In addition to the pulmonary nodule identified, there is presence of pleural fluid, a specific cause for which is not determined during this evaluation. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [], 'findings': [{'id': 6, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pleural-effusion', 'custom_fields': None}, {'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is spondylosis deformans noted in the thoracic and thoracolumbar spine. ', 'elapsedTime': 11.097, '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': 19, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['caudally positioned']}}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 1932, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'In the cranial abdomen, there is displacement of small intestines and colon caudally.', 'elapsedTime': 44.275, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 2141, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': {'___s1_': ['small', 'round'], '___s2_': ['caudoventral']}}, {'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': 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': 2500, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a wispy soft tissue opacity noted over the parts of the liver and spleen in the ventral abdomen.', 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a small soft tissue opacity nodule noted on the left lateral view between ribs 7 and 8, caudal to the heart in the caudoventral thorax. ', 'elapsedTime': 102.781, 'signal_name': 'Nodule', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [{'id': 6, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'lung-pleural-effusion'}, {'id': 28, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Mass lesion - abdominal'}, {'id': 517, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pleural effusion'}], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2520, 'source': 'labelling', 'signal_name': 'screening-area'}, {'id': 2521, 'source': 'labelling', 'signal_name': 'Neoplasia-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is a small soft tissue opacity nodule noted on the left lateral view between ribs 7 and 8, caudal to the heart in the caudoventral thorax. There is a small, round mass noted in the caudoventral thorax. There is evidence of fluid in the pleural space. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. In the cranial abdomen, there is displacement of small intestines and colon caudally. There is a wispy soft tissue opacity noted over the parts of the liver and spleen in the ventral abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic and thoracolumbar spine. There are degenerative changes noted in the left and right shoulder. There are degenerative changes noted in the caudally positioned elbow. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'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': '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': 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': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift'}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2270, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thin-bcs'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 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': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity'}, {'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': 2500, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fluid-wispy'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Nodule'}, {'id': 2563, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node'}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node'}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nHepatomegaly consistent with active infiltration. Rule out neoplasia versus inflammatory or benign causes.\nIn addition to the pulmonary nodule identified (r/o granuloma vs metastatic disease), there is presence of pleural fluid, a specific cause for which is not determined during this evaluation. Inflammatory or paraneoplastic effusion is suspected.\nDegenerative changes in the shoulder and elbow.\nSpondylosis deformans. Likely incidental.\nSuspected abdominal mass of unknown origin. Given the location, origination from a specific organ cannot be definitively determined, but the liver is suspected. Cannot rule out the upper bowel, pancreas, or other cranial abdominal structures. The focal wispy appearance in the abdomen may represent a small volume of peritoneal effusion or peritonitis.\n\nRecommendations:\nConsider abdominal ultrasound to investigate the hepatomegaly and suspected abdominal mass. Now, a thoracic and abdominal CT scan would be ideal given the bicavitary findings. Liver/mass FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nConsider diagnostic thoracocentesis for fluid analysis and cytology to further investigate changes within the pleural cavity.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the shoulder and elbow.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2013-09-15', 'name': 'Chase^INDY', 'breed': 'German Shepherd', 'owner': 'Chase^Jill', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'La Cumbre Animal Hospital', 'email': '[email protected]', 'clinician': 'Tech'}

Mass in abdomen and fluids in lungs.

expert

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

[]

[]

[]

[]

['Pleural Fluid', 'Mass lesion - abdominal', 'Pleural effusion']

[]

[6, 28, 517]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-05-20', 'name': 'Huamani^Ralph', 'breed': 'Other Breed', 'owner': 'Huamani^Jimena', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': 'West Houston Veterinary Medical Associates', 'email': '[email protected]', 'clinician': 'West Houston Veterinary Medical Associates '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'O reports P does not want to jump anymore and is less active.', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 356, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Stifle arthritis, lameness', 'custom_fields': None}, {'id': 363, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Hip DJD- lameness', 'custom_fields': None}, {'id': 364, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Hip dysplasia', 'custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 2538, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'cant-struggle-jump'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['caudal']}}, {'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': 2230, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is evidence of hip incongruity of the left and right hips. ', 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 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}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is evidence of hip incongruity of the left and right hips. There is degenerative joint disease affecting the left and right coxofemoral joint. There are degenerative changes noted in the caudal stifle. 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': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 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': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 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'}], 'report_conclusions': '* Degenerative changes in the hips may be the source of the reported signs. Given the noted incongruity these degenerative changes maybe secondary to hip dysplasia.\n - Correlate with orthopedic examination. Consider analgesic and monitor response to therapy.\n* Osteoarthritis of the stifle may also be contributing to the noted signs. No evidence of stifle effusion or instability. \n - Medical management including rest could be considered at this time.'}

{'bday': '2017-05-20', 'name': 'Huamani^Ralph', 'breed': 'Other Breed', 'owner': 'Huamani^Jimena', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

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

O reports P does not want to jump anymore and is less active.

expert

['Musculoskeletal-area']

['Lethargic/tired', 'Struggling to jump']

[]

[131, 2538]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-11-12', 'name': 'Moutinho^Penelope', 'breed': 'Tabby', 'owner': 'Moutinho^Lindsay', 'gender': 'F', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Veterinary Urgent and Well Care Center', 'email': '[email protected]', 'clinician': 'Veterinaryurgentandwellcare'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet has been gagging, very lethargic, avoiding contact, and hiding. Pet is also vomiting, especially when touched around the neck, and refuses to eat .', 'questions': 'Vomiting, lethargic, and not eating.'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1023, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}], 'consult': [{'id': 195, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 2.495, 'consult_name': 'Spleen feline - Visible', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider abdominal ultrasound to further investigate clinical significance of the visualized spleen and if enlargement is confirmed an FNA sample is recommended.', 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 63.852999999999994, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'diagnosis_custom_text': 'Given the 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, pancreatitis and dietary indiscretion should be considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further assess gastrointestinal pattern. Lab testing for pancreatitis and blood work should also be considered.', 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 521, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 1937, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-visible', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 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': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is mild diffuse distension of the small intestine with gas. ', 'elapsedTime': 8.119, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe spleen is visualized in the cranioventral abdomen. There is mild diffuse distension of the small intestine with gas. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 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': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -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': 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': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 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'}, {'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': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': 'Conclusions:\nGiven the 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, pancreatitis and dietary indiscretion should be considered.\nVisualization of the spleen may be normal variation or due to infiltrative disease such as lymphosarcoma, mast cell neoplasia, or other.\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. Lab testing for pancreatitis and blood work should also be considered.\nConsider abdominal ultrasound to further investigate clinical significance of the visualized spleen and if enlargement is confirmed an FNA sample is recommended.'}

{'bday': '2021-11-12', 'name': 'Moutinho^Penelope', 'breed': 'Tabby', 'owner': 'Moutinho^Lindsay', 'gender': 'F', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

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

Pet has been gagging, very lethargic, avoiding contact, and hiding. Pet is also vomiting, especially when touched around the neck, and refuses to eat .

Vomiting, lethargic, and not eating.

standard

['Gastrointestinal-area']

['Lethargic/tired', 'Vomiting', 'Gagging/retching', 'Anorexia', 'Feline']

[]

[131, 256, 521, 606, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-12-30', 'name': 'peden^nebula', 'breed': 'American Shorthair', 'owner': 'peden^lyndsay', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pt presented for lethargy and respiratory distress. Pt is indoor only. No history of trauma. No previous illnesses. Pt with pale MM, tacky. Increased respiratory rate and effort with no obvious crackles or wheezes auscultated. Hct 16%, WBC 67K, elevated globulins.', 'questions': 'Cause for pleural effusion?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'partial', 'source': 'labelling'}, {'id': 1025, 'state': 'partial', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'labelling'}, {'id': 1034, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 333, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Pleural - pleural effusion, CVP/CDP, lung lobe collapse', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1173, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiomegaly - heart not visible, PEF, suspicious for heart disease', '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': 674, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Mucous membranes abnormal - pale'}, {'id': 2179, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2359, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'tachycardia'}, {'id': 2636, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Hyperglobulinemia'}], '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': 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': 2280, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['diffuse alveolar']}}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2315, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': None}], 'diagnosis': [{'id': 517, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pleural effusion'}], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is increased opacity throughout the lung fields, characterized as a diffuse alveolar pattern. There is evidence of significant fluid in the pleural space. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is distension of the stomach with gas. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -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': 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': 714, 'source': 'ray', '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': -2, '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': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 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': 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': 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': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'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:\nThe clinical signs are attributed to the large volume of pleural effusion, an underlying cause for which is not determined during this evaluation. No clear pulmonary lesion is detected, nor is there vascular distention. There is collapse of the described lung which may be atelectasis or a pulmonary lesion is possible. \nVisibility of the cardiac silhouette is limited due to border effacement preventing thorough evaluation, though there is suspicion it might be enlarged. Based on the clinical signs and other pathology observed on the radiographs, heart disease is a likely differential. Neoplasia or other disease processes cannot be ruled out.\n\nRecommendations:\nConsider diagnostic thoracentesis and fluid analysis followed by recheck radiographs for further investigation of the large volume of pleural effusion and collapse of the lung.\nRecommend supportive care and therapeutic thoracocentesis. An echocardiogram, an ECG and a blood pressure measurement are very important in this case. '}

{'bday': '2019-12-30', 'name': 'peden^nebula', 'breed': 'American Shorthair', 'owner': 'peden^lyndsay', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Pt presented for lethargy and respiratory distress. Pt is indoor only. No history of trauma. No previous illnesses. Pt with pale MM, tacky. Increased respiratory rate and effort with no obvious crackles or wheezes auscultated. Hct 16%, WBC 67K, elevated globulins.

Cause for pleural effusion?

expert

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

['Lethargic/tired', 'Mucous membranes abnormal - pale', 'Respiratory distress', 'Tachycardia', 'Hyperglobulinemia']

[]

[131, 674, 2179, 2359, 2636]

[]

['Pleural effusion']

[]

[517]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-01-01', 'name': '"Bella"', 'breed': 'Chihuahua', 'owner': 'Debra Perry', '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': 'O/s know that Bella has CHF and is on several meds for it, however her coughing has gotten much worse. Sometimes productive, but not always. Its been worse the last 3 days per o/s. O/ is visiting from New Mexico. She had a really bad cough in the fall and has since been on meds.\r\n\r\nEnalapril 5mg BID\r\n\r\nCough Tabs 10mg\r\n\r\nFurosemide 12.5mg BID\r\n\r\nPimobenden 1.25mg\r\n\r\nPrednisolone 5mg EOD', 'questions': 'Pneumonia vs. CHF'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'partial', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'empty', 'source': 'labelling'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 283, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly - No edema,Coughing, Airway compression', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 303, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Trachea - cough, redundant tracheal membrane', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2387, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'cough-chronic'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': {'___s1_': ['thoracic inlet']}}, {'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': 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': 2469, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'narrowed-mainstem-bronchi', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is compression of the mainstem bronchi. There is increased soft tissue opacity within the thoracic inlet region of the trachea. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is radiopaque material within the stomach. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': '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': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -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': 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': 3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2259, 'source': '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': 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': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 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': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nCompression of the mainstem bronchi by the enlarged heart may be the source of reported clinical signs, however bronchitis or dynamic airway collapse cannot be ruled out. No evidence of pulmonary edema is noted.\nChanges in the trachea are concerning for chondromalacia and may be an early stage of collapsing trachea.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nGastric material. This is consistent with food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\n\nRecommendations:\nAntitussive therapy combined with cardiac medications is often recommended in similar cases. An echocardiogram can also be considered to investigate further.\nConsider symptomatic therapy for tracheal collapse. Limiting stress/excitement, avoiding neck leashes and collars, the judicious use of antitussives such as hydrocodone, and possibly anti-inflammatory medications may be considered.\nConsider 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 repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material.'}

{'bday': '2010-01-01', 'name': '"Bella"', 'breed': 'Chihuahua', 'owner': 'Debra Perry', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

O/s know that Bella has CHF and is on several meds for it, however her coughing has gotten much worse. Sometimes productive, but not always. Its been worse the last 3 days per o/s. O/ is visiting from New Mexico. She had a really bad cough in the fall and has since been on meds. Enalapril 5mg BID Cough Tabs 10mg Furosemide 12.5mg BID Pimobenden 1.25mg Prednisolone 5mg EOD

Pneumonia vs. CHF

standard

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

['Coughing', 'Chronic cough', 'Canine Small Breed']

[]

[69, 2387, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-01-26', 'name': 'Gardner^SAMANTHA', 'breed': 'DSH', 'owner': 'Gardner^Karen', 'gender': 'F', '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': 'Patient has not been doing well since a wound repair on the 18th. Patient is not wanting to eat or drink and is lethargic. Bloodwork revealed profound elevation in BUN, creatinine, and phosphorus', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 263, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': '* A cause for the clinical signs described could not be determined from the images provided. \n - Consider further work up including cbc, and urinalysis. Thoracic radiographs and abdominal ultrasound may also be indicated. In addition, a more detailed clinical history may also be helpful.', 'elapsedTime': 19.114, 'consult_name': 'No cause for weight loss, decreased appetite', 'custom_fields': None}, {'id': 878, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': '* Moderate distenion of the stomach with fluid is observed. Consider outflow obstruction, severe gastritis, or atony. \n - Repeating fasting abdominal radiographs in 12-24 hours could be considered to assess gastric emptying. Depending on clinical signs and history, abdominal ultrasound or endoscopy may be beneficial. ', 'consult_name': 'moderate gastric distension with fluid', 'custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 259, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2315, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': None}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': {'___s1_': ['gas']}}], 'diagnosis': [], 'questions': [{'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}], 'recommendations': [{'id': 82, 'source': 'labelling', 'recommendation_name': 'Blood test: Biochemistry - urea'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is distension of the stomach with gas. There is diffuse distension of the small intestine with gas. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -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': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'ileus-diffuse-distension-SI'}], 'report_conclusions': '* A cause for the clinical signs described could not be determined from the images provided. \n - Consider further work up including cbc, and urinalysis. Thoracic radiographs and abdominal ultrasound may also be indicated. In addition, a more detailed clinical history may also be helpful.\n* Moderate distenion of the stomach with fluid is observed. Consider outflow obstruction, severe gastritis, or atony. \n - Repeating fasting abdominal radiographs in 12-24 hours could be considered to assess gastric emptying. Depending on clinical signs and history, abdominal ultrasound or endoscopy may be beneficial. '}

{'bday': '2016-01-26', 'name': 'Gardner^SAMANTHA', 'breed': 'DSH', 'owner': 'Gardner^Karen', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': 'null'}

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

Patient has not been doing well since a wound repair on the 18th. Patient is not wanting to eat or drink and is lethargic. Bloodwork revealed profound elevation in BUN, creatinine, and phosphorus

expert

['Systemic-area']

['Lethargic/tired', 'Traumatic injury', 'Anorexia']

[]

[131, 259, 606]

[]

[]

[]

[]

[]

[]

['Blood test: Biochemistry - urea']

[]

[82]

{'patient': {'bday': '2013-01-31', 'name': 'Cordero^Emmitt', 'breed': 'Golden Doodle', 'owner': 'Cordero^Kasendra', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Dale Mabry Animal Hospital', 'email': '[email protected]', 'clinician': 'Dale Mabry Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': '3-day history of vomiting and decreased appetite. Vomitus has a red tinge. Owner notes that patient got into trash 4 days ago and ate a chicken nugget and part of a banana peel. ', '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': 231, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* The metallic wire in the abdomen may be incidental. ', 'elapsedTime': 21.313, 'consult_name': 'Peritoneal - Wire FB', 'custom_fields': None}, {'id': 245, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': '* The source of vomiting is not identified. No obstructive pattern is noted. The wire foreign material noted may be in the GI tract and therefore dietary indiscretion may be a primary consideration. Gastroenteritis, pancreatitis or a systemic illness causing secondary GI signs could also be considered. Upper GI pathology or ulceration are also due to the red tinge of the vomitus. \n - Medical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound.', 'elapsedTime': 114.13, 'consult_name': 'Intestines - Gastroenteritis, foreign material', 'custom_fields': None}], 'signals': [{'id': 92, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 282, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting with blood'}, {'id': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is 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': 20, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': None}, {'id': 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': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2288, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'plication-distension-si', 'custom_fields': None}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'wire-foreign-body', 'custom_fields': {'___s1_': ['mid', 'caudal']}}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is a thin wire-like foreign body in the mid, caudal abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion'}, {'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': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'wire-foreign-body'}], 'report_conclusions': '* The source of vomiting is not identified. No obstructive pattern is noted. The wire foreign material noted may be in the GI tract and therefore dietary indiscretion may be a primary consideration. Gastroenteritis, pancreatitis or a systemic illness causing secondary GI signs could also be considered. Upper GI pathology or ulceration are also due to the red tinge of the vomitus. \n - Medical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound.\n* The metallic wire in the abdomen may be incidental. \n* Spondylosis deformans. Likely incidental.\n - Correlate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2013-01-31', 'name': 'Cordero^Emmitt', 'breed': 'Golden Doodle', 'owner': 'Cordero^Kasendra', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

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

3-day history of vomiting and decreased appetite. Vomitus has a red tinge. Owner notes that patient got into trash 4 days ago and ate a chicken nugget and part of a banana peel.

expert

['Gastrointestinal-area']

['Dietary indiscretion', 'Vomiting', 'Hematemesis (vomiting blood)', 'Hyporexia']

[]

[92, 256, 282, 607]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-03-20', 'name': 'Blu-fish', 'breed': 'Whippet', 'owner': 'Rachel Rehberg', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Bassham Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Dennie Bassham, DVM'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'shaking, abdominal pain, not eating, temperature: 99.0°F, (blood cell count (CBC), chemistry profile,Canine specific Pancreatic Lipase, lactate NORMAL)', 'questions': 'Is this evidence of intestinal obstruction '}}

{'tags': {'userTags': ['High-value-overcalling', 'standard'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}, {'id': 1054, 'state': 'ready', 'source': 'labelling'}], 'consult': [{'id': 441, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 19.264, 'consult_name': 'Intestines - Functional ileus', 'diagnosis_custom_text': 'Diffuse distension of the GI tract with no evidence of obstruction is consistent with functional ileus. Enteritis, infiltrate or foreign material with possible secondary partial obstruction cannot be ruled out completely.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 177, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 545, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 620, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 622, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2542, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pancreatic-lipase'}], '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': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': {'___s1_': ['gas']}}, {'id': 2487, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'colon-distension', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['gas']}}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [{'id': 77, 'state': 'normal', 'source': 'labelling', 'recommendation_name': 'Blood test: Biochemistry - full profile'}, {'id': 1068, 'state': 'normal', 'source': 'labelling', 'recommendation_name': 'blood-test-complete-blood-count-cbc-'}, {'id': 1310, 'state': 'normal', 'source': 'labelling', 'recommendation_name': 'lactate-levels'}], 'report_findings': 'Abdomen\nThere is moderate distension of the colon with gas. There is diffuse distension of the small intestine with gas. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', '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': 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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -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': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -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': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body'}, {'id': 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': 2487, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'colon-distension'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}], 'report_conclusions': 'Conclusions:\nDiffuse distension of the GI tract with no evidence of obstruction is consistent with functional ileus. Enteritis, infiltrate or foreign material with possible secondary partial obstruction cannot be ruled out completely.\n\nRecommendations:\nConsider repeat radiographs and/or abdominal ultrasound to further investigate for ileus. Medical management of the clinical signs (if any) may be indicated at this time.'}

{'bday': '2020-03-20', 'name': 'Blu-fish', 'breed': 'Whippet', 'owner': 'Rachel Rehberg', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Bassham Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Dennie Bassham, DVM'}

shaking, abdominal pain, not eating, temperature: 99.0°F, (blood cell count (CBC), chemistry profile,Canine specific Pancreatic Lipase, lactate NORMAL)

Is this evidence of intestinal obstruction

expert

['Gastrointestinal-area']

['Panting', 'Fever/pyrexia', 'Anorexia', 'Tremors/shaking/trembling', 'Pain - abdominal']

['Pancreatic Lipase tests/ cPLI positive']

[177, 545, 606, 620, 622]

[2542]

[]

[]

[]

[]

[]

['Blood test: Chemistry - full profile', 'Blood test: Complete Blood Count (CBC)', 'Blood test: Lactate level']

[]

[77, 1068, 1310]

{'patient': {'bday': '2016-07-18', 'name': 'COLEN^HUEY', 'breed': 'Golden Retriever', 'owner': 'COLEN^', '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 ate a protein bar wrapper( aluminium ) last night. Threw up breakfast today. pet has history of eating FB. Pet is doing well otherwise.', 'questions': 'FB ? Induce vomiting?'}}

{'tags': {'userTags': ['standard'], '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': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}], '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': 245, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 8.177999999999999, 'consult_name': 'Intestines - Gastroenteritis, foreign material', 'diagnosis_custom_text': 'There is foreign material noted in the GI tract therefore dietary indiscretion should be a primary consideration. No obstructive pattern is noted. Gastroenteritis, pancreatitis or a systemic illness causing secondary GI signs can not be ruled out completely. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Hindlimb Hip - hip OA, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 433, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 17.301, 'consult_name': 'Bladder - UBC, no URC, no obstruction', 'diagnosis_custom_text': 'Cystic and urethral calculi identified, no obstruction noted. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 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': 708, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urethra-calculi', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['soft tissue']}}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is radiopaque material within the stomach. There is mild gas distension of the small intestine. ', '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': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2288, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'plication-distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 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': 612, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Foreign body'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach. There is mild gas distension of the small intestine. There is soft tissue foreign material located within the small intestine. There is a radiopaque structure in the region of the urethra. Increased opacity is noted over the silhouette of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is degenerative joint disease affecting the left and right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 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': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 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': 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': 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': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 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': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}], 'report_conclusions': "Conclusions:\nThere is foreign material noted in the GI tract therefore dietary indiscretion should be a primary consideration. No obstructive pattern is noted. Gastroenteritis, pancreatitis or a systemic illness causing secondary GI signs can not be ruled out completely.\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\nCystic and urethral calculi identified, no obstruction noted.\nDegenerative joint disease of the hips.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further investigate the identified intestinal foreign material.\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nConsider dissolution diet or cystotomy based on additional clinical input. Abdominal ultrasound may also yield more information. Complete urinalysis and culture is recommended.\nCorrelate with orthopedic examination for further evaluation of degenerative joint disease of the hips."}

{'bday': '2016-07-18', 'name': 'COLEN^HUEY', 'breed': 'Golden Retriever', 'owner': 'COLEN^', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Pet ate a protein bar wrapper( aluminium ) last night. Threw up breakfast today. pet has history of eating FB. Pet is doing well otherwise.

FB ? Induce vomiting?

standard

['Gastrointestinal-area']

['Vomiting']

[]

[256]

[]

['Foreign body']

[]

[612]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-01-12', 'name': 'Graham^Hank', 'breed': 'DLH', 'owner': 'Graham^Gary', 'gender': 'F', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presents for: lateral, sick?\r\nSigns and symptoms: Lateral, will sit up for brief periods, stiff legs, only eating small amounts, seems cold, not using the liter box\r\nEvents leading up to problem: Owner found the patient (stray) laying in the carport yesterday unable to walk and cold. He took her in, she ate a small amount, has not been able to get up and use the liter box, this morning her arms seem stiff. Owner would like to see if there is anything he can do for her. ', 'questions': 'R/O muscular skeletal issues VS infection VS other'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Gastric - Food vs foreign, asymptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 218, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/ lethargy', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 224, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Peritoneal - Artefact LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 781, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Repros - UTD, fetus', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 274, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Urinating abnormally'}, {'id': 544, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Hypothermia'}, {'id': 590, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Stiffness'}, {'id': 604, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Recumbency/reluctance to move'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}], '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': 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': 1933, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2254, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'utd-secondary-to-fetus', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-area'}, {'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach. There is loss of serosal detail in the abdomen. Mineralized fetal skeleton(s) have been recognized in the study. Uterine distension in this patient is noted to be secondary to pregnancy. 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': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -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': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 707, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'prostate-mineralization'}, {'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': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'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': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'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': 0, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2254, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'utd-secondary-to-fetus'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2451, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Prostate-fp'}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'fluid-wispy'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Abdominal mineralization'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail'}], 'report_conclusions': "Conclusions:\nThe cause of the patient's described clinical signs is not identified in the radiographs provided.\nThere appears to be mineralized fetal skeletons present with no radiographic evidence of fetal death.\nGastric material. This is consistent with food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\nThe loss of detail noted in the abdomen is suspected to be artifactual, related to summation of structures and exposure settings.\n\nRecommendations:\nCorrelate with a minimum database including blood work and urinalysis. Further historical context and/or follow up evaluation may be indicated. Re-evaluation of radiographs in time or ultrasound may also be indicated to further investigate the reported non-specific signs.\nAn ultrasound may be a more useful tool for assessment of fetal viability, fetal malformations, and/or fetal distress.\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of non-obstructive foreign material."}

{'bday': '2022-01-12', 'name': 'Graham^Hank', 'breed': 'DLH', 'owner': 'Graham^Gary', 'gender': 'F', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': 'null'}

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

Patient presents for: lateral, sick? Signs and symptoms: Lateral, will sit up for brief periods, stiff legs, only eating small amounts, seems cold, not using the liter box Events leading up to problem: Owner found the patient (stray) laying in the carport yesterday unable to walk and cold. He took her in, she ate a small amount, has not been able to get up and use the liter box, this morning her arms seem stiff. Owner would like to see if there is anything he can do for her.

R/O muscular skeletal issues VS infection VS other

expert

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

['Urination abnormal - hematuria', 'Hypothermia', 'Stiffness', 'Recumbency/reluctance to move', 'Anorexia']

[]

[274, 544, 590, 604, 606]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-05-02', 'name': 'IVY', 'breed': 'Chihuahua', 'owner': 'TUMINEZ', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'clinician': 'Dr. Rule'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Ivy presents for coughing, wheezing. \xa0It has been going on for about 1 day. \xa0Started yesterday afternoon. \xa0Coughing more frequently this afternoon and evening. \xa0Back to back coughing episodes and retching up material afterward. \xa0Cough is making a goose honk-like sound.\r\nC/V -- \xa0Heart and lung sounds normal. Femoral pulses were strong and synchronous. \xa0Goose-honk like cough easily elicited on tracheal palpation. \xa0Patient unable to control or stop coughing for at least 1 min.', 'questions': 'R/O: Collapsing trachea, pneumonia, congestive heart failure.'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1020, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1021, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1024, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 255, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Esoph - No regurg, ESD, moderate, aerophagia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 299, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Bronchial - Normal lungs, small breed', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - Cardiac/lung Screening, normal', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 521, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 2456, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Wheezing'}, {'id': 2536, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lung-crackles-sounds'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 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': 799, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'esophagus-distension', 'custom_fields': {'___s1_': ['caudal thoracic'], '___s2_': ['diffusely']}}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 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': 2252, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [], 'report_findings': 'Thorax\nThe caudal thoracic esophagus appears diffusely distended. The rest of the observed thorax is within normal limits.\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': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'labelling', '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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'labelling', '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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, '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': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'labelling', '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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'labelling', '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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'labelling', 'history': False, 'confidence': -3, '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': 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': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'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': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass'}, {'id': 2572, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Hiatal hernia'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}], 'report_conclusions': "Conclusions:\nNo definitive cause for the described respiratory signs has been determined from this radiographic study. Bronchitis, tracheitis, or dynamic airway collapse cannot be ruled out. No abnormalities of the cardiac silhouette are noted. The distension noted in the esophagus may be secondary to aerophagia, and megaesophagus cannot be ruled out. A small, soft-tissue opacity is noted within the stomach, which may represent food/fluid or rugal folds in the stomach; however, foreign material cannot be entirely ruled out. Spondylosis deformans noted, likely incidental. Mild fecal retention observed, rule out constipation.\nRecommendations:\nSummary:\nConsider further evaluation with fluoroscopy, +/- (endoscopic) bronchoscopy evaluation, lower airway sampling, and a respiratory PCR if the patient does not respond to medical management.\nCorrelate with clinical signs and exam to further investigate the distension noted in the esophagus.\nConsider abdominal ultrasound or repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying, correlating with the history of the patient's last meal.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.\nCorrelate with clinical history to rule out constipation."}

{'bday': '2016-05-02', 'name': 'IVY', 'breed': 'Chihuahua', 'owner': 'TUMINEZ', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Ivy presents for coughing, wheezing.  It has been going on for about 1 day.  Started yesterday afternoon.  Coughing more frequently this afternoon and evening.  Back to back coughing episodes and retching up material afterward.  Cough is making a goose honk-like sound. C/V --  Heart and lung sounds normal. Femoral pulses were strong and synchronous.  Goose-honk like cough easily elicited on tracheal palpation.  Patient unable to control or stop coughing for at least 1 min.

R/O: Collapsing trachea, pneumonia, congestive heart failure.

standard

['Respiratory-area', 'Resp signs - heart/lungs']

['Coughing', 'Gagging/retching', 'Wheezing', 'Lung crackles/lung sounds']

[]

[69, 521, 2456, 2536]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-03-03', 'name': 'CALLIE', 'breed': 'DLH', 'owner': 'FAWCETT', 'gender': 'F', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'clinician': 'Dr. Brown'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'VOMITING FOR ABOUT 2 DAYS. DIARRHEA STARTED ABOUT 24HRS AGO. DELIVERED KITTENS 12 WEEKS AGO AND IS STILL NURSING. TEMPERATURE 101.3 ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 246, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Gastroenterocolitis(vom+diarroea)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 365, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hindlimb Hip - hip subluxation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'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': 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': 2230, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 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'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is evidence of hip incongruity of the left and right hip. 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': 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': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -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': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': '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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'hip-neck-thicking'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}], '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.\nEvidence of hip subluxation/joint laxity.\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 orthopedic examination for further evaluation of hip subluxation/joint laxity.'}

{'bday': '2022-03-03', 'name': 'CALLIE', 'breed': 'DLH', 'owner': 'FAWCETT', 'gender': 'F', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

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

VOMITING FOR ABOUT 2 DAYS. DIARRHEA STARTED ABOUT 24HRS AGO. DELIVERED KITTENS 12 WEEKS AGO AND IS STILL NURSING. TEMPERATURE 101.3

expert

['Gastrointestinal-area']

['Diarrhea', 'Vomiting']

[]

[76, 256]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-01-01', 'name': 'Poczik^SUNNY', 'breed': 'DSH', 'owner': 'Poczik^Jody', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'AEHVolusia'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'p presented for evaluation after o states that he has been treating all 4 of his cats for URI, other 3 are resolving, p is eating less and less over past few days and is having difficulty breathing for the past couple hours. on PE, p has harsh lungs sounds bilaterally, BW shows NSF except abnormal PROBNP snap test', 'questions': 'allergies, asthma, URI, pneumonia, heart dz, other?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 244, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': '* Presence of two populations of small intestine may represent a mechanical obstruction though severe enteritis cannot always be ruled out. Distention due to aerophagia can also not be ruled out.\n - Medical management and follow up radiographs may also be a consideration if the patient is closely monitored for any change in status. Abdominal ultrasound can be considered for confirmation.', 'consult_name': 'Possible obstructive pattern', 'custom_fields': None}, {'id': 281, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': '* Presence of cardiomegaly and pulmonary infiltrates are consistent feline cardiomyopathy with secondary congestive heart failure.\n - Consider echocardiogram and treatment with diuretics.\n Supportive care including oxygen therapy is recommended. ', 'elapsedTime': 72.106, 'consult_name': 'Feline heart failure (pulmonary infiltrates)', 'custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': None, 'consult_name': 'fecal retention', 'custom_fields': None}], 'signals': [{'id': 46, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Blood test'}, {'id': 50, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2470, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lung sounds'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is presence of mild distension of a portion of small intestine and a population of non-distended intestine. ', 'elapsedTime': 4.457, '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': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is an accumulation of some fecal material in the colon.', 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 880, 'source': 'labelling', 'history': True, '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': 2280, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['unstructured interstitial']}}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'labelling', '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': 2316, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intestine-fm', 'custom_fields': None}], 'diagnosis': [{'id': 2032, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Respiratory tract infection, upper (URTI)'}], 'questions': [{'id': 2509, 'source': 'labelling', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}], 'internal_notes': '', 'recommendations': [{'id': 989, 'source': 'labelling', 'recommendation_name': 'pro-bnp'}], 'report_findings': 'Thorax\nThe heart appears to be enlarged. There is increased opacity throughout the lung fields, characterized as a unstructured interstitial pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is an accumulation of some fecal material in the colon. There is presence of mild distension of a portion of small intestine and a population of non-distended intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 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': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': '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': 744, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'fecal-impaction'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}], 'report_conclusions': '* Presence of cardiomegaly and pulmonary infiltrates are consistent feline cardiomyopathy with secondary congestive heart failure.\n - Consider echocardiogram and treatment with diuretics.\n Supportive care including oxygen therapy is recommended. \n* Presence of two populations of small intestine may represent a mechanical obstruction though severe enteritis cannot always be ruled out. Distention due to aerophagia can also not be ruled out.\n - Medical management and follow up radiographs may also be a consideration if the patient is closely monitored for any change in status. Abdominal ultrasound can be considered for confirmation.\n* Mild fecal retention. Rule out constipation.\n - Correlate with clinical history.'}

{'bday': '2024-01-01', 'name': 'Poczik^SUNNY', 'breed': 'DSH', 'owner': 'Poczik^Jody', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': 'null'}

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

p presented for evaluation after o states that he has been treating all 4 of his cats for URI, other 3 are resolving, p is eating less and less over past few days and is having difficulty breathing for the past couple hours. on PE, p has harsh lungs sounds bilaterally, BW shows NSF except abnormal PROBNP snap test

allergies, asthma, URI, pneumonia, heart dz, other?

expert

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

['Dyspnoea', 'Hyporexia', 'Lung sounds']

['Blood test']

[50, 607, 2470]

[46]

['Respiratory tract infection, upper (URTI)']

[]

[2032]

[]

[]

['Blood test: Pro-BNP']

[]

[989]

{'patient': {'bday': '2019-05-13', 'name': 'Milo', 'breed': 'Mixed ', 'owner': 'Drent', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'NewDay Veterinary Care - Winter Garden', 'email': '[email protected]', 'clinician': 'Pet Paradise - Winter Garden Vet'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presented today for pain in his right hindlimb. O noticed that P started "slowing down" about 3 weeks ago, but that it has worsened in the past week. O said that P jumps up when playing frisbee and will run alot when outside, but cannot point to an event that initiated the pain. \r\n\r\n\r\nPatient reacted painfully when having right hindlimb evaluated; patient immediately turned when right hindlimb was lifted for ROM exercises.', 'questions': 'Differentials for pain in right hindlimb? Is there any evidence of CCL rupture in right stifle? Is there any evidence of hip dysplasia? '}}

{'tags': {'userTags': ['standard'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['joint-effusion']}, 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 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': 352, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Hindlimb Stifle - Chronic cruciate, lameness', 'diagnosis_custom_text': 'Osteoarthritis of the right stifle along with increased soft tissue opacity noted is most consistent with chronic stifle instability and intra-articular injury. This is commonly associated with cranial cruciate ligament injury/rupture. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with orthopedic examination to assess for cranial drawer in the stifle.', 'recommendation_custom_fields': None}, {'id': 364, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Hindlimb Hip - chronic hip dysplasia, HOA and HIC', 'diagnosis_custom_text': 'Osteoarthritis of the left hip secondary to hip dysplasia.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 500, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Intestines - FB small (incidental)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 629, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - musculoskeletal'}, {'id': 2186, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}}, {'id': 10, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['right']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 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 opaque foreign material located within the small intestine cranial to the bladder.', 'elapsedTime': 18.694, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': None}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are degenerative changes noted in the right stifle.', 'signal_name': 'knee-osteophytosis', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left']}}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is degenerative joint disease affecting the left and right coxofemoral joint.', 'elapsedTime': 12.447, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2252, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 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': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is mineral opaque foreign material located within the small intestine cranial to the bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. There is evidence of hip incongruity of the left hip. There is degenerative joint disease affecting the left and right coxofemoral joint. There is increased soft tissue opacity in the stifle joint noted in the right stifle. There are degenerative changes noted in the right stifle. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion'}, {'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': 3, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 871, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'labelling', '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': 2215, 'source': 'ray', 'history': False, 'confidence': 0, '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': -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': 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': 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': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 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:\nOsteoarthritis of the right stifle along with increased soft tissue opacity noted is most consistent with chronic stifle instability and intra-articular injury. This is commonly associated with cranial cruciate ligament injury/rupture.\nOsteoarthritis of the left hip secondary to hip dysplasia.\nSpondylosis deformans. Likely incidental.\nSmall intestinal foreign body as described likely to pass on its own. Likely incidental.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nCorrelate with orthopedic examination to assess for cranial drawer in the stifle.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis secondary to hip dysplasia.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.\nConsider follow up radiographs to ensure passage of the described intestinal foreign body. Monitor for development of clinical signs.'}

{'bday': '2019-05-13', 'name': 'Milo', 'breed': 'Mixed ', 'owner': 'Drent', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'NewDay Veterinary Care - Winter Garden', 'email': '[email protected]', 'clinician': 'Pet Paradise - Winter Garden Vet'}

P presented today for pain in his right hindlimb. O noticed that P started "slowing down" about 3 weeks ago, but that it has worsened in the past week. O said that P jumps up when playing frisbee and will run alot when outside, but cannot point to an event that initiated the pain. Patient reacted painfully when having right hindlimb evaluated; patient immediately turned when right hindlimb was lifted for ROM exercises.

Differentials for pain in right hindlimb? Is there any evidence of CCL rupture in right stifle? Is there any evidence of hip dysplasia?

expert

['Musculoskeletal-area']

['Pain - musculoskeletal', 'Pain']

[]

[629, 2186]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-10-07', 'name': 'Strom^ANNIE', 'breed': 'Labrador Retriever', 'owner': 'Strom^Samantha', '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 for abdominal discomfort. Cries out when handled', 'questions': 'Evaluate abdomen and pelvis'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 216, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'custom_text': None, 'consult_name': 'Resp Bronchial - age-related bronchitis', 'custom_fields': None}, {'id': 251, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'custom_text': None, 'consult_name': 'Colon - Foreign body', 'custom_fields': None}, {'id': 394, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': '* Boney fragments identified on L5-L6 vertebrae separated from the main portion of the bone. However it is difficult to determine if this a result of trauma or bone remodeling in early diskospondylitis (infection of disc space and adjacent vertebrae).\n - Consider CT scan for further investigation of the chip fracture. Based on clinical signs, determine if exercise restriction may be adequate versus neuro/orthopedic consult and surgical intervention.', 'elapsedTime': 180.458, 'consult_name': 'M/S GEN - Chip fracture', 'custom_fields': None}, {'id': 904, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* Traumatic vertebral fracture. \n - Correlate with neurologic exam and consider advanced imaging for further investigation of the traumatic vertebral luxation/fracture.', 'consult_name': ' Traumatic Vertebral Luxation/Fracture', 'custom_fields': None}], 'signals': [{'id': 423, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'abdominal-pain'}, {'id': 614, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - on being handled'}, {'id': 2191, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pelvis'}], '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': 740, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'colon-foreign-material', 'custom_fields': {'___s1_': ['a small amount of mineral'], '___s2_': ['descending']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is suspicious boney fragments noted on the lumber spine at L5, L6.', 'elapsedTime': 59.38, 'signal_name': 'axial-fracture', '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_': ['L5-L6']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is a small amount of mineral opacity foreign material located within the descending colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is suspicious boney fragments noted on the lumber spine at L5, L6. There is intervertebral disc space narrowing at L5-L6. 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': 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': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': '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': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'axial-fracture'}], 'report_conclusions': '* Traumatic vertebral fracture. \n - Correlate with neurologic exam and consider advanced imaging for further investigation of the traumatic vertebral luxation/fracture.\n* Boney fragments identified on L5-L6 vertebrae separated from the main portion of the bone. However it is difficult to determine if this a result of trauma or bone remodeling in early diskospondylitis (infection of disc space and adjacent vertebrae).\n - Consider CT scan for further investigation of the chip fracture. Based on clinical signs, determine if exercise restriction may be adequate versus neuro/orthopedic consult and surgical intervention.\n* Colonic foreign body as described. \n - Monitor for passage of described colonic foreign body in the stool.\n* Bronchial pattern is most consistent with the age of the patient. Chronic lower airway inflammation cannot be entirely ruled out.'}

{'bday': '2023-10-07', 'name': 'Strom^ANNIE', 'breed': 'Labrador Retriever', 'owner': 'Strom^Samantha', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

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

Pt presents for abdominal discomfort. Cries out when handled

Evaluate abdomen and pelvis

expert

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

['Pain - abdominal (Presenting complaint)', 'Pain - on being handled', 'Pelvis']

[]

[423, 614, 2191]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-04-10', 'name': 'Wilson^Rio', 'breed': 'AMERICAN BULLDOG', 'owner': 'Wilson^Mckeiver', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Clinton Animal Hospital - MD', 'email': '[email protected]', 'clinician': 'Aradom Debretsion'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Straining to urinate. Blood stained urine, lethargic.', 'questions': 'Straining to urinate. Blood stained urine, lethargic.'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1028, 'state': 'empty', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 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': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 265, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Stranguria'}, {'id': 274, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Urinating abnormally'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2657, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbosacral']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 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': 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': 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': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nIncreased 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 lumbosacral spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -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': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': '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': -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': 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': 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': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp'}, {'id': 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': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone'}, {'id': 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 calculii noted but moderate distention of the bladder is concerning for obstruction.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nEnsure the patient is able to urinate otherwise catheterize. Consider dissolution diet or cystotomy based on additional clinical input. Abdominal ultrasound may also yield more information.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2021-04-10', 'name': 'Wilson^Rio', 'breed': 'AMERICAN BULLDOG', 'owner': 'Wilson^Mckeiver', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Clinton Animal Hospital - MD', 'email': '[email protected]', 'clinician': 'Aradom Debretsion'}

Straining to urinate. Blood stained urine, lethargic.

Straining to urinate. Blood stained urine, lethargic.

expert

['urinary-area']

['Lethargic/tired', 'Urination abnormal - stranguria', 'Urination abnormal - hematuria', 'Canine Medium/Large Breed', 'Brachycephalic']

[]

[131, 265, 274, 2656, 2657]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-01-12', 'name': 'Millett^ROO', 'breed': 'mix', 'owner': 'Austin Millett', 'gender': 'O', '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': 'ate half of a battery', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Gastric food vs foreign material', 'custom_fields': None}, {'id': 242, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': '* Small intestinal foreign body noted, consistent with the history provided. Foreign material appears to be small enough to be able to pass on its own. No obstructive pattern noted.\n - Monitor for development of clinical signs. Consider follow up radiographs to ensure passage. Consider medical management of clinical signs if warranted.', 'elapsedTime': 103.016, 'consult_name': 'Foreign body obstruction', 'custom_fields': None}], 'signals': [{'id': 2184, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 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 to bone opacity foreign material noted in the small intestine.', 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2288, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'plication-distension-si', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'internal_notes': 'ate half of a battery', 'recommendations': [], 'report_findings': 'Thorax\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 is normal in size and contour. \n* There is radiopaque material within the stomach. \n* There is no plication of the small intestine or distension of the small intestine indicative of obstruction. \n* There is mineral to bone opacity foreign material noted in the small intestine.\n* There is no evidence of a mass or mass effect within the abdomen. \n* The serosal detail of the abdomen is normal. \n* The urinary bladder is within normal limits. \n* No evidence of urolithiasis. \n\nMusculoskeletal\n* No 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': 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': 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': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}], 'report_conclusions': "* Small intestinal foreign body noted, consistent with the history provided. Foreign material appears to be small enough to be able to pass on its own. No obstructive pattern noted.\n - Monitor for development of clinical signs. Consider follow up radiographs to ensure passage. Consider medical management of clinical signs if warranted.\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. Repeating fasting abdominal radiographs in 12-24 hours could be considered to assess gastric emptying."}

{'bday': '2023-01-12', 'name': 'Millett^ROO', 'breed': 'mix', 'owner': 'Austin Millett', 'gender': 'O', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

ate half of a battery

expert

['Gastrointestinal-area']

['Suspected foreign body ingestion']

[]

[2184]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-05-15', 'name': 'Frank', 'breed': 'Golden Retriever', 'owner': 'Pennell, Meg', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'pt had dental done on 4/24/24 at rdvm and was seemingly off after, uncomfortable, vomiting; on 4/25/24 rdvm saw and was scripted the sucralfate per o no burns were noted at this time\r\npt came into TAEH on 4/27 for the same symptoms, thorax was shaved and mild bruising was noted, coag panel wnl, that night a pt from the same rdvm came in with sloughing bruises after a dental at the same clinic\r\npt returned am 4/28 is currently obtunded with signifcant swelling and possible burn trauma present', 'questions': 'rule out necrotizing faciitis secondary to thermal burns and evaluate SQ emphysema if present '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1039, 'state': 'empty', 'source': 'labelling'}, {'id': 1041, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 218, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/ lethargy', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 354, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hindlimb Stifle - mild/questionable stifle effusion', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 406, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Subcut - Swelling, non specific, no trauma', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 54, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Bruising'}, {'id': 131, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 578, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Mass/swelling - unspecified'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 10, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['left 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': 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': 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': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': {'___s1_': ['left']}}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 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': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['neck', 'front limb']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 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': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}, {'id': 2446, 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': {'___s1_': ['left']}}], 'diagnosis': [{'id': 733, 'state': 'normal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Coagulopathy (clotting disorder)'}, {'id': 2144, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Burn injury'}], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [{'id': 2218, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Soft tissue swelling due to trauma'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is an accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is soft tissue swelling involving neck and front limb. There is increased soft tissue opacity in the stifle joint noted in the left and right stifle. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -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': 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': 'labelling', 'history': False, 'confidence': -3, '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': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'soft-tissue-swelling'}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia'}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture'}, {'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': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2446, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement'}], 'report_conclusions': "Conclusions:\nSoft tissue swelling as described. No pathology observed in the associated bony structures. Differentials include cellulitis, edema, dermatitis, or less likely neoplastic disease.\nThe increased soft tissue opacity noted in the indicated stifle is most consistent with intra-articular injury (CCL strain or partial tear or meniscal injury) however, given the minimal nature of this finding may be secondary to positioning or technique of the radiographs.\nThe cause of the patient's described clinical signs is not identified in the radiographs provided.\n\nRecommendations:\nRecommend medical management for soft tissue swelling and tissue sampling for further investigation, if warranted. Focal ultrasound with FNA sampling could also be considered.\nCorrelate with orthopedic examination and consider medical management including rest for further investigation of the increased soft tissue opacity noted in the stifle.\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': '2019-05-15', 'name': 'Frank', 'breed': 'Golden Retriever', 'owner': 'Pennell, Meg', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

pt had dental done on 4/24/24 at rdvm and was seemingly off after, uncomfortable, vomiting; on 4/25/24 rdvm saw and was scripted the sucralfate per o no burns were noted at this time pt came into TAEH on 4/27 for the same symptoms, thorax was shaved and mild bruising was noted, coag panel wnl, that night a pt from the same rdvm came in with sloughing bruises after a dental at the same clinic pt returned am 4/28 is currently obtunded with signifcant swelling and possible burn trauma present

rule out necrotizing faciitis secondary to thermal burns and evaluate SQ emphysema if present

expert

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

['Bruising/contusion', 'Lethargic/tired', 'Vomiting', 'Mass/swelling - other', 'Canine Medium/Large Breed']

[]

[54, 131, 256, 578, 2656]

[]

['Burn injury']

['Coagulopathy (clotting disorder)']

[2144]

[733]

['Soft tissue swelling due to trauma']

[]

[2218]

[]

{'patient': {'bday': '2020-01-01', 'name': 'Reed^Little Kai^^^', 'breed': 'Toy Fox Terrier', 'owner': 'Cindy', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Grayson County Animal Emergency Clinic', 'email': '[email protected]', 'clinician': 'Grayson County Animal Emergency Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'O just noticed P was not acting themselves today. P did not want to move around and cries out when O picks up and is reactive. Jumped down from sofa and had cried out', 'questions': 'Possible obstruction, IVDD'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'partial', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'abnormal', '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': 228, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Spine - incidental VAN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 233, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, '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': 273, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Cardiac - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 71, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Crying'}, {'id': 154, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Not himself/herself'}, {'id': 2530, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'patient-fell'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 10, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': None}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 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': 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': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'Vertebral anomaly is noted at ,T13 and possibly L7. ', 'elapsedTime': 9.474, 'signal_name': 'vert-anomaly-class', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 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': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart measures above the normal range. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nVertebral anomaly is noted at ,T13 and possibly L7. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 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': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': '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': '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': '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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -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': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 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': 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': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': 'Conclusions:\nNo radiographic evidence for clinical signs described. Consider discomfort as a possible differential. Sources of discomfort could include partial vertebral disc herniation, abdominal or other soft tissue origins.\nGastric material is consistent with food/recent meal.\nVertebral anomaly. Likely incidental.\nThe VHS is calculated above normal range, however the cardiac silhouette appears to be normal in size. This does not rule out cardiomyopathy.\n\nRecommendations:\nRecommend supportive care for the reported clinical signs. Re-evaluate as clinically indicated to further investigate the possible sources of discomfort. Neurologic evaluation with potential myelogram +/- MRI, spinal tap may be necessary for a definitive diagnosis if empiric therapy and conservative management not successful.\nCorrelate with physical exam for clinical significance of the vertebral anomaly.\nConsider an echocardiogram and blood pressure measurment for further investigation to rule out underlying cardiac disease.'}

{'bday': '2020-01-01', 'name': 'Reed^Little Kai^^^', 'breed': 'Toy Fox Terrier', 'owner': 'Cindy', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Grayson County Animal Emergency Clinic', 'email': '[email protected]', 'clinician': 'Grayson County Animal Emergency Clinic'}

O just noticed P was not acting themselves today. P did not want to move around and cries out when O picks up and is reactive. Jumped down from sofa and had cried out

Possible obstruction, IVDD

expert

['Musculoskeletal-area']

['Crying/yelping', 'Not himself/herself', 'Fell/dropped', 'Canine Small Breed']

[]

[71, 154, 2530, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-04-05', 'name': 'Wohlferd^IVY', 'breed': 'DSH', 'owner': 'Wohlferd^Rose', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pt presents for 3wk history of weight loss. G3 heart murmur, BUN >120, Crea 11.38', 'questions': 'Weight loss- r/o CKD vs hyperthyroidism vs DM vs other'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}, {'id': 1095, 'state': 'normal', 'source': 'labelling'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 274, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiac feline - Normal heart, symptomatic (cardiac dz)/murmur', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1085, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Renal - Irregular kidneys, chronic changes', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 140, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 617, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Polydipsia'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-mineralization', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 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': 2264, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'irregular-kidney', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}], 'diagnosis': [{'id': 575, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hyperthyroidism'}, {'id': 2167, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Chronic kidney (renal) disease (CRF, CKD) (azotaemia unspecified)'}], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}, {'id': 2524, 'source': 'labelling', 'signal_name': 'Endocrine-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach. The margins of the left and right kidney are irregular in appearance. Radiopaque opacities are noted over the silhouette of the left and right kidney. There is radiopaque material in the feces in the colon. The feces are formed into solid stools. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 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': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 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': 2264, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'irregular-kidney'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}], 'report_conclusions': 'Conclusions:\nSummary:\nGastric material noted is consistent with food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out. \nThe cardiovascular structures appear normal, and early feline cardiomyopathy may not be associated with changes to the cardiac silhouette. \nIrregular kidney margins and radiopacities may indicate chronic renal disease or kidney injury.\n\nRecommendations:\nSummary:\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of non-obstructive foreign material.\nAn echocardiogram and blood pressure measurement would be optimal to investigate the reported murmur. \nCorrelate renal changes with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation.\nHyperthyroidism cannot be ruled out from these radiographs. Consider measuring T4.\n'}

{'bday': '2012-04-05', 'name': 'Wohlferd^IVY', 'breed': 'DSH', 'owner': 'Wohlferd^Rose', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Pt presents for 3wk history of weight loss. G3 heart murmur, BUN >120, Crea 11.38

Weight loss- r/o CKD vs hyperthyroidism vs DM vs other

expert

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

['Losing weight', 'Polydipsia', 'Heart Murmur', 'Feline']

[]

[140, 617, 2175, 2327]

[]

['Hyperthyroidism', 'Chronic kidney disease (CKD)']

[]

[575, 2167]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-04-30', 'name': 'Garlanger^BREWZER', 'breed': 'Mix', 'owner': 'Garlanger^Linda', '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': 'Acute presentation of severe lethargy, muscle tremoring and vomiting noted when owner got home. No known dietary indiscretion. Comes in to drink water then vomits up mucous and foam, large amounts.', 'questions': 'complete evaluation'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', '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': 238, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Gastric - acute vomiting, outflow obstruction, GAD, GMT', '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': 876, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Intestines - Concern for obstruction, vomiting', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 92, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': "Eaten something shouldn't have"}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 620, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 2406, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'survey films'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbosacral']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': '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': 2483, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is mild distention of the stomach and it contains a soft tissue opacity with irregular margins.', 'elapsedTime': 5.478, 'signal_name': 'gastric-fb', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Mild small intestinal distention', 'custom_fields': {'___s1_': ['mildly'], '___s2_': ['fluid']}}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'internal_notes': 'GMT- Oddly shaped accumulation of gas in the pylorus on the VD. Round to irregular shaped radio-opaque material on the lateral ', 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is mild distention of the stomach and it contains a soft tissue opacity with irregular margins. There is a portion of the small intestine that is mildly distended with fluid. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbosacral spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -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': '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': -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': -2, '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': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 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': 2669, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': "Conclusions:\nModerate to severe gastric distension with food/fluid+gas, which is concerning given the history. Consideration is given to pyloric outflow obstruction or gastric foreign body. Gastroenteritis is not excluded.\nNo evidence of a mechanical obstruction is observed on the images provided though an obstruction cannot always be ruled out radiographically.\nSpondylosis deformans. Likely incidental.\nThe cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology.\n\nRecommendations:\nMedical management of clinical signs and repeat radiographs in 12-24 hours could be considered to assess gastric emptying, assuming the patient's clinical status remains stable or improves. Additionally, endoscopic +/- surgical examination may be a consideration.\nMonitor response to medical management and recheck radiographs in 12-24 hours to reassess the intestinal gas pattern. Consider abdominal ultrasound for further investigation.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified."}

{'bday': '2010-04-30', 'name': 'Garlanger^BREWZER', 'breed': 'Mix', 'owner': 'Garlanger^Linda', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Acute presentation of severe lethargy, muscle tremoring and vomiting noted when owner got home. No known dietary indiscretion. Comes in to drink water then vomits up mucous and foam, large amounts.

complete evaluation

expert

['Gastrointestinal-area']

['Lethargic/tired', 'Vomiting', 'Tremors/shaking/trembling', 'Screening radiographs']

['Dietary indiscretion']

[131, 256, 620, 2406]

[92]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-05-07', 'name': 'Strauss^JASPER', 'breed': 'DSH', 'owner': 'Strauss^Olivia', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'AEHVolusia'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presented for limping and looking at LH leg since last night; twitching started as p got here. Indoor/outdoor. No V/D. No recent flea meds or products used in home. On exam, slow but rhythmic and repetitive muscle tremors/twitching. Intermittent open mouth breathing. Normal menace/PLR/palpebral OU; ataxic and delayed CPs; normal deep pain x 4. normal panniculus reflex. Bloodwork: eosinophilia, mildly elevated Cl, slightly decreased Ca, FIV/FeLV negative. Chem WNL. ', 'questions': 'Toxin vs. neurological disease vs. other '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'ready', 'source': 'labelling'}, {'id': 1020, 'state': 'ready', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1031, 'state': 'partial', 'source': 'labelling'}, {'id': 1032, 'state': 'empty', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}, {'id': 1096, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 742, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Neuro - No cause for non-specific neuro signs', 'diagnosis_custom_text': 'A cause for the reported neurological signs is not determined in the images provided. No evidence of masses or neoplastic process is appreciated. Aortic thromboembolic disease is a possible differential.\xa0', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 177, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 268, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Twitching'}, {'id': 601, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gait abnormality - ataxia'}, {'id': 2185, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2526, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'decreased-concious-proprioception'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'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 distension of the stomach with presence of radiopaque material. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -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': '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': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 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': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'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': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'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': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis'}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)"}], 'report_conclusions': 'Conclusions:\nA cause for the reported neurological signs is not determined in the images provided. No evidence of masses or neoplastic process is appreciated. Aortic thromboembolic disease is a possible differential.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nAdvanced imaging such as MRI may be useful for further investigation of the reported neuro signs. Correlate with neurological exam, clinical history, and blood work. \n'}

{'bday': '2017-05-07', 'name': 'Strauss^JASPER', 'breed': 'DSH', 'owner': 'Strauss^Olivia', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

P presented for limping and looking at LH leg since last night; twitching started as p got here. Indoor/outdoor. No V/D. No recent flea meds or products used in home. On exam, slow but rhythmic and repetitive muscle tremors/twitching. Intermittent open mouth breathing. Normal menace/PLR/palpebral OU; ataxic and delayed CPs; normal deep pain x 4. normal panniculus reflex. Bloodwork: eosinophilia, mildly elevated Cl, slightly decreased Ca, FIV/FeLV negative. Chem WNL.

Toxin vs. neurological disease vs. other

expert

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

['Panting', 'Twitching', 'Gait abnormality - ataxia', 'Lameness', 'Feline', 'Decreased conscious proprioception']

[]

[177, 268, 601, 2185, 2327, 2526]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-02-16', 'name': 'Finch^Bunny^^^', 'breed': 'DSH', 'owner': 'Stephanie Finch', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Friendly Animal Hospital ', 'email': '[email protected]', 'clinician': 'Friendly Animal Hospital'}, 'accept_tos': '1', 'consult_info': {'case_info': 'P presented not eating for 2 days, vomiting more than 2 times as soon as eating. Vomit green/yellow bile\r\nBW in house: elevated Total protein, globulin, ALT,ALP.\r\nDuring the PE, no string when open the mouth. \r\nWhat is the cause of vomiting? R/o foreign body obstruction (please confirm) ? abdominal mass? ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 228, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Incidental VAN', 'custom_fields': None}, {'id': 248, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'Gastroenteritis', 'custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': '* Degenerative joint disease of the right hip.\n - Correlate with orthopedic examination.', 'elapsedTime': 9.944, 'consult_name': 'Hip DJD', 'custom_fields': None}, {'id': 786, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* No cause for elevated liver enzymes. The liver is normal in appearance, however this does not rule out pathology. \n - Consider abdominal ultrasound and FNA sampling if indicated for further investigation.', 'elapsedTime': 32.274, 'consult_name': 'No cause for elevated LEs', 'custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2404, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'liver-enzymes-elevated'}], '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': 764, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': ['L1']}}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['right']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2294, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urinary-tract', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}, {'id': 2516, 'source': 'labelling', 'signal_name': 'hepatic-area'}, {'id': 2521, 'source': 'labelling', 'signal_name': 'Neoplasia-area'}], 'recommendations': [{'id': 1041, 'source': 'labelling', 'recommendation_name': 'oral-exam'}, {'id': 1068, 'source': 'labelling', 'recommendation_name': 'blood-test-complete-blood-count-cbc-'}], 'report_findings': 'Thorax\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 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* The visualized kidneys are within normal limits. \n* The urinary tract is normal. \n* The urinary bladder is within normal limits. \n* No evidence of urolithiasis. \n\nMusculoskeletal\n* No appendicular fractures are noted. \n* No evidence of rib fracture is observed.\n* No aggressive osseous lesions identified. \n* No significant intervertebral disc space narrowing is identified. \n* Vertebral anomaly is noted at L1. \n* There is degenerative joint disease affecting the right coxofemoral joint. \n* There is no evidence of degenerative changes within the stifle.', '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': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 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': 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': 'labelling', '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': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}], 'report_conclusions': '* Gastroenteritis is considered the most likely source of signs. No complete obstructive pattern is identified although an obstruction cannot be completely excluded radiographically.\n - Medical management of the clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound.\n* No cause for elevated liver enzymes. The liver is normal in appearance, however this does not rule out pathology. \n - Consider abdominal ultrasound and FNA sampling if indicated for further investigation.\n* Vertebral anomaly. Likely incidental.\n - Correlate with physical exam.\n* Degenerative joint disease of the right hip.\n - Correlate with orthopedic examination.'}

{'bday': '2020-02-16', 'name': 'Finch^Bunny^^^', 'breed': 'DSH', 'owner': 'Stephanie Finch', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

P presented not eating for 2 days, vomiting more than 2 times as soon as eating. Vomit green/yellow bile BW in house: elevated Total protein, globulin, ALT,ALP. During the PE, no string when open the mouth. What is the cause of vomiting? R/o foreign body obstruction (please confirm) ? abdominal mass?

expert

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

['Vomiting', 'Anorexia', 'Elevated liver enzymes']

[]

[256, 606, 2404]

[]

[]

[]

[]

[]

[]

['Oral exam', 'Blood test: Complete Blood Count (CBC)']

[]

[1041, 1068]

{'patient': {'bday': '2023-07-04', 'name': 'Behney^BELLA', 'breed': 'Miniature Schnauzer', 'owner': 'Behney^Marion', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'ICU'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented for blood-tinged vomit and bloody diarrhea.\r\n\r\nShe is still E/D.\r\nSymptoms started 5/5. She recently had a new treat. Her normal diet is Hills Science diet kibble, and she does get frequent table scraps.\r\nFully vaccinated.', 'questions': 'See history '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'partial', 'source': 'labelling'}, {'id': 1026, 'state': 'normal', 'source': 'labelling'}, {'id': 1027, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 714, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Hemorrhagic gastro enteritis (vom+diarr).', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 77, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhoea with blood'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 282, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting with blood'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2290, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-foreign-body', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'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': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -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': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 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': 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'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': 'Conclusions:\nA cause for the described clinical signs is not determined from the radiographs. Given the history, hemorrhagic diarrhea syndrome is considered as a primary differential. Colitis due to stress, dietary indiscretion, parasite, or other cause cannot be ruled out.\n\nRecommendations:\nMedical management of the clinical signs is indicated at this time. Consider fecal testing and blood work for further investigation.'}

{'bday': '2023-07-04', 'name': 'Behney^BELLA', 'breed': 'Miniature Schnauzer', 'owner': 'Behney^Marion', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Patient presented for blood-tinged vomit and bloody diarrhea. She is still E/D. Symptoms started 5/5. She recently had a new treat. Her normal diet is Hills Science diet kibble, and she does get frequent table scraps. Fully vaccinated.

See history

expert

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

['Diarrhoea with blood', 'Vomiting', 'Hematemesis (vomiting blood)', 'Canine Small Breed']

[]

[77, 256, 282, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-11-21', 'name': 'Vadae^^^^', 'breed': 'French Bulldog', 'owner': 'Vadae', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'McKinney Emergency Veterinary Clinic', 'email': '[email protected]', 'clinician': 'MEVC'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented for resp distress. Patient was purchased 9 days from a breeder and was coughing and gagging at that time. Owner reports patient has continued to gag but otherwise has been playful and eating/drinking well until Wed. On Wed AM patient vomited white foam. Took to pDVM at 9:30am. Parvo and Fecal neg per owner. Was having labored breathing, pDVM said to watch for worsening. No rads at that time. Gave abx and nausea inj, sent home oral abx and nausea meds. 1pm on Wed patient became stiff and collapsed. Thursday patient stopped eating/drinking and started having diarrhea. Labored breathing continued. This morning owner took back to pDVM for continued gagging/resp distress. Was placed in o2 but would be unable to keep patient overnight if needed. Owner decided to transfer to ER\r\n\r\n1 set breeder vax\r\n\r\nDiet: Wet and Dry from Petco', 'questions': 'Reasons for resp and GI signs - Concerns for Diaph hernia'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1007, 'state': 'ready', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'ready', 'source': 'labelling'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'partial', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'ready', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}], 'consult': [{'id': 222, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Peritoneal - Juvenile LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 319, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Parenchymal - vomiting/retching, CVP, aspiration pneumonia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 696, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Spine - TID/CID with VAN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 65, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Collapsed'}, {'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 85, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Drinking less'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 521, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 590, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Stiffness'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2179, 'source': 'labelling', 'history': True, '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': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is narrowing of the entire trachea. ', 'elapsedTime': 32.663, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T12']}}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2280, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['diffuse 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': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is intervertebral disc space narrowing at T11-T13. ', 'elapsedTime': 5.104, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 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': 1017, 'state': 'normal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Canine parvovirus infection'}], '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': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [{'id': 71, 'state': 'normal', 'source': 'labelling', 'recommendation_name': 'Faecal analysis (unspecified)'}, {'id': 961, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Antibiotic'}, {'id': 967, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Antiemetic'}, {'id': 995, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'oxygen-therapy'}], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart. There is increased opacity throughout the lung fields, characterized as a diffuse alveolar pattern. There is narrowing of the entire trachea. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere 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 T11-T13. Vertebral anomaly is noted at ,T12. 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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 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': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'labelling', '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': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 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': 'labelling', 'history': False, 'confidence': 2, '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': 'labelling', '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': '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': 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': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2270, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thin-bcs'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 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': 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': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 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': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail'}, {'id': 2581, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Peritoneal pericardial diaphragmatic hernia'}, {'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'}], 'report_conclusions': 'Conclusions:\nGiven the history of vomiting, the alveolar pattern in the cranioventral region is most consistent with aspiration pneumonia.\nPresence of disc space narrowing associated with vertebral anomaly is suggestive of disc degeneration.\nAbdominal detail loss presumably from immaturity, ascites not excluded.\n\nRecommendations:\nConsider bronchoalveolar lavage for the cytological exam, culture, and sensitivity to further investigate the alveolar pattern in the cranioventral region. Given the history of upper respiratory signs before the collapsing episode, testing for upper respiratory pathogens may be helpful.\nConsider advanced imaging such as MRI for further investigation of the disc space narrowing associated with vertebral anomaly. Correlate with physical exam findings.'}

{'bday': '2023-11-21', 'name': 'Vadae^^^^', 'breed': 'French Bulldog', 'owner': 'Vadae', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'McKinney Emergency Veterinary Clinic', 'email': '[email protected]', 'clinician': 'MEVC'}

Patient presented for resp distress. Patient was purchased 9 days from a breeder and was coughing and gagging at that time. Owner reports patient has continued to gag but otherwise has been playful and eating/drinking well until Wed. On Wed AM patient vomited white foam. Took to pDVM at 9:30am. Parvo and Fecal neg per owner. Was having labored breathing, pDVM said to watch for worsening. No rads at that time. Gave abx and nausea inj, sent home oral abx and nausea meds. 1pm on Wed patient became stiff and collapsed. Thursday patient stopped eating/drinking and started having diarrhea. Labored breathing continued. This morning owner took back to pDVM for continued gagging/resp distress. Was placed in o2 but would be unable to keep patient overnight if needed. Owner decided to transfer to ER 1 set breeder vax Diet: Wet and Dry from Petco

Reasons for resp and GI signs - Concerns for Diaph hernia

expert

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

['Collapsed', 'Coughing', 'Diarrhea', 'Drinking less', 'Vomiting', 'Gagging/retching', 'Stiffness', 'Anorexia', 'Respiratory distress']

[]

[65, 69, 76, 85, 256, 521, 590, 606, 2179]

[]

[]

['Canine parvovirus infection']

[]

[1017]

['Antibiotic', 'Antiemetic', 'Oxygen therapy']

['Fecal analysis ']

[961, 967, 995]

[71]

{'patient': {'bday': '2022-12-22', 'name': 'HERNANDEZ^^^^', 'breed': 'POODLE MIX', 'owner': 'CLAUDIA', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Pet Clinic - Little York', 'email': '[email protected]', 'clinician': 'Affordable Pet Clinic Houston'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P PRESENTED WITH HISTORY OF VOMITING FROM PAST WEEK. WATERY & BLOODY DIARRHOEA. p IS EATING AND DRINKING GOOD. BAR. PE: TENSE ABDOMEN', 'questions': 'GI FOREIGN BODY VS FUNCTIONAL OBSTRUCTION VS PANCREATITIS VS TOXICITY VS OPEN'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 712, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 18.059, 'consult_name': 'Intestines - Poss 2 pops vs colon', 'diagnosis_custom_text': 'A portion of distended bowel is observed, however, given its location it cannot be differentiated from colon. Given the history, hemorrhagic diarrhea syndrome is considered as a primary differential. Colitis due to stress, dietary indiscretion, parasite, or other cause cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider 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. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 77, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhoea with blood'}, {'id': 85, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Drinking less'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 622, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2535, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'eating-normally'}, {'id': 2632, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Hyperactive'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 15, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-obstruction', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 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': 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': 2316, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intestine-fm', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': '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 distension of the stomach with presence of radiopaque material. There is presence of distension of a portion of small intestine and a population of non-distended intestine. The rest of the observed abdomen is within normal limits.\n\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': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -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': 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': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 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': 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'}], 'report_conclusions': "Conclusions:\nA portion of distended bowel is observed, however, given its location it cannot be differentiated from colon. Given the history, hemorrhagic diarrhea syndrome is considered as a primary differential. Colitis due to stress, dietary indiscretion, parasite, or other cause cannot be ruled out.\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\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.\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying."}

{'bday': '2022-12-22', 'name': 'HERNANDEZ^^^^', 'breed': 'POODLE MIX', 'owner': 'CLAUDIA', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Affordable Pet Clinic - Little York', 'email': '[email protected]', 'clinician': 'Affordable Pet Clinic Houston'}

P PRESENTED WITH HISTORY OF VOMITING FROM PAST WEEK. WATERY & BLOODY DIARRHOEA. p IS EATING AND DRINKING GOOD. BAR. PE: TENSE ABDOMEN

GI FOREIGN BODY VS FUNCTIONAL OBSTRUCTION VS PANCREATITIS VS TOXICITY VS OPEN

standard

['Gastrointestinal-area']

['Diarrhea', 'Diarrhoea with blood', 'Vomiting', 'Pain - abdominal', 'Eating normally']

['Drinking less', 'Hyperactive']

[76, 77, 256, 622, 2535]

[85, 2632]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-04-30', 'name': 'Brady^Stewie', 'breed': 'Terrier Yorkshire', 'owner': 'Brady^Cristina', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'clinician': 'FVEPH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for pacing and whimpering. Symptoms started after tonight. Defecated on a walk afterwards but symptoms started again on the way home. Chronic history of vomiting / indigestion - owner usually gives cerenia at home. \r\nCurrently on benazepril, amlodipine, ursodiol, and get cytopoint injections. No vomiting. Past history of pancreatitis 3 years ago. Currently on hepatic care from Just Food for Dog. Diagnosed with hypertension 6 years ago and heart murmur 7 years ago. Seizure in the past. ', 'questions': 'Distended abdomen r/o colitis vs constipation vs dietary vs open'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'normal', 'source': 'labelling'}, {'id': 1036, 'state': 'ready', 'source': 'labelling'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 252, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Colon - No constipation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 302, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Trachea - no cough, redundant tracheal membrane', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - TID/CID with spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 500, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - FB small (incidental)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 23, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Agitated'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 292, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Whining'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 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': 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': 2259, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': {'___s1_': ['cervical']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2288, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'plication-distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L4-L5']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 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': [{'id': 48, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Constipation'}, {'id': 131, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Colitis'}], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}, {'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2659, 'source': 'ai', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2661, 'source': 'ai', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is increased soft tissue opacity within the cervical region of the trachea. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is distension of the stomach with presence of radiopaque material. 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 intervertebral disc space narrowing at L4-L5. 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': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': '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': 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': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 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': 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': 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': 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': 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': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': 'Conclusions:\nGastric material noted is consistent with food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out. \nNo indication of constipation noted on the radiographs. \nSmall intestinal foreign material as described likely to pass on its own with no evidence of obstruction noted, likely incidental. \nTrachealis redundancy may be an early stage of collapsing trachea, likely incidental if the patient is not coughing. \nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\n\nRecommendations:\nSummary:\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material. Correlate with rectal exam and clinical signs to further investigate for constipation. Consider follow-up radiographs to ensure passage of the described intestinal foreign body and monitor for development of clinical signs. Correlate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.'}

{'bday': '2010-04-30', 'name': 'Brady^Stewie', 'breed': 'Terrier Yorkshire', 'owner': 'Brady^Cristina', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Presented for pacing and whimpering. Symptoms started after tonight. Defecated on a walk afterwards but symptoms started again on the way home. Chronic history of vomiting / indigestion - owner usually gives cerenia at home. Currently on benazepril, amlodipine, ursodiol, and get cytopoint injections. No vomiting. Past history of pancreatitis 3 years ago. Currently on hepatic care from Just Food for Dog. Diagnosed with hypertension 6 years ago and heart murmur 7 years ago. Seizure in the past.

Distended abdomen r/o colitis vs constipation vs dietary vs open

standard

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

['Agitated/restless', 'Whining/whimpering/groaning', 'Canine Small Breed']

['Vomiting']

[23, 292, 2654]

[256]

['Constipation', 'Colitis']

[]

[48, 131]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-01-01', 'name': 'Dexter^Comissioner Gordon ^^^', 'breed': 'Domestic Shorthair', 'owner': 'Laurie', 'gender': 'M', 'species': 'Feline', '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': ' breathing trouble, hx exercise intolerance and open mouth breathing when stressed, had most of colon removed ~3 years ago and now has chronic soft stool, otherwise has been healthy without any issues, not currently on any medications, on presentation dyspneic, pulse oximeter 76% room air and 86% with oxygen, TFAST confirmed pleural effusion and a high La:Ao ratio, heart contractility was poor and left ventricle appeared thickened. Lasix IV and torb IM. Fluid was mostly clear with pink tint. ', 'questions': 'Concern for HCM with CHF r/o neoplasia, other '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1006, 'state': 'empty', 'source': 'labelling'}, {'id': 1020, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'partial', 'source': 'labelling'}, {'id': 1028, 'state': 'empty', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'labelling'}, {'id': 1034, 'state': 'partial', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 219, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Peritoneal - LAD, no trauma', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1173, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiomegaly - heart not visible, PEF, suspicious for heart disease', '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': 177, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 257, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Exercise intolerance'}, {'id': 2179, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 6, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pleural-effusion', 'custom_fields': None}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 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': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2280, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['diffuse alveolar']}}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': {'___s1_': ['intestines'], '___s2_': ['cranioventral']}}], 'diagnosis': [{'id': 6, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'lung-pleural-effusion'}, {'id': 517, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pleural effusion'}, {'id': 2443, 'state': 'normal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'neoplasia'}], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2672, 'source': 'labelling', 'signal_name': 'neoplasia-thorax'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is increased opacity throughout the lung fields, characterized as a diffuse alveolar pattern. There is evidence of fluid in the pleural space. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is a wispy soft tissue opacity noted over the intestines in the cranioventral abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -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': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': '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': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 2, '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': -2, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift'}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 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': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp'}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-fat'}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'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': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail'}], 'report_conclusions': 'Conclusions:\nVisibility of the cardiac silhouette is limited due to border effacement preventing thorough evaluation. Heart disease is a likely differential based on clinical signs and other pathology observed on the radiographs. Neoplasia or other disease processes cannot be ruled out. Pattern noted in the lung parenchyma is likely due to infiltrate from suspected heart disease, but lung collapse due to pleural fluid cannot be ruled out. There appears to be free fluid in the abdomen, and potential sources include low oncotic pressure, portal hypertension, neoplastic effusion, abdominal hemorrhage, or other causes.\n\nRecommendations:\nSummary:\nSupportive care and thoracocentesis are recommended. Recheck radiographs after thoracocentesis for other pathology and to better assess the heart. Additionally, consider an echocardiogram, an ECG, and a blood pressure measurement. For further assessment, advise abdominocentesis analysis and cytology of the free fluid in the abdomen and abdominal ultrasound.'}

{'bday': '2014-01-01', 'name': 'Dexter^Comissioner Gordon ^^^', 'breed': 'Domestic Shorthair', 'owner': 'Laurie', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

breathing trouble, hx exercise intolerance and open mouth breathing when stressed, had most of colon removed ~3 years ago and now has chronic soft stool, otherwise has been healthy without any issues, not currently on any medications, on presentation dyspneic, pulse oximeter 76% room air and 86% with oxygen, TFAST confirmed pleural effusion and a high La:Ao ratio, heart contractility was poor and left ventricle appeared thickened. Lasix IV and torb IM. Fluid was mostly clear with pink tint.

Concern for HCM with CHF r/o neoplasia, other

expert

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

['Dyspnoea', 'Panting', 'Exercise intolerance ', 'Respiratory distress', 'Feline']

[]

[50, 177, 257, 2179, 2327]

[]

['Pleural Fluid', 'Pleural effusion']

['Neoplasia']

[6, 517]

[2443]

[]

[]

[]

[]

{'patient': {'bday': '2023-05-11', 'name': 'Russell^Boomer', 'breed': 'Domestic Shorthair', 'owner': 'Russell^Sarah', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Woodland Animal Hospital (ER)', 'email': '[email protected]', 'clinician': 'Woodland Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'HBC on Thr. Presented 5/11, dragging both HL, multiple wounds on hind limbs', 'questions': 'Spinal trauma, or fractures of the spine/ disc issues\r\nother fractures than the right tibial tarsal '}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1015, 'state': 'partial', 'source': 'labelling'}, {'id': 1016, 'state': 'ready', 'source': 'labelling'}, {'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'partial', 'source': 'labelling'}, {'id': 1030, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'empty', 'source': 'labelling'}, {'id': 1041, 'state': 'partial', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}, {'id': 1096, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 187, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Hepatomegaly - Juvenile', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 392, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'M/S GEN - acute fracture', 'diagnosis_custom_text': 'Evidence of multiple appendicular fracture as described. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 489, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Subcut - Swelling, trauma', 'diagnosis_custom_text': 'Soft tissue swelling and subcutaneous gas as described. Consistent with history of trauma and local hemorrhage/hematoma.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 742, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Neuro - No cause for non-specific neuro signs', 'diagnosis_custom_text': 'A cause for the paresis of hindlimb neurological signs is not determined in the images provided. Appendicular fractures as described above may be the cause of non-weight bearing lameness.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 30, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Been run over/hit by car/Motor vehicle accident '}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'feline'}, {'id': 2527, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'paresis-paralysis-both'}], 'findings': [{'id': 10, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': None}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a displaced, closed, complete, transverse fracture of the right tibia and distal digits. There is a non-displaced, complete chip fracture of the left medial malleolus.', 'elapsedTime': 96.673, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'subcutaneous-gas', 'custom_fields': {'___s1_': ['right', 'distal', 'pelvic limb']}}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is soft tissue swelling involving both distal left and right hind limbs.', 'elapsedTime': 15.023, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 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': 1306, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Fracture'}], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}, {'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-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 liver appears possibly mildly enlarged. There is radiopaque material within the stomach. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is a displaced, closed, complete, transverse fracture of the right tibia and distal digits. There is a non-displaced, complete chip fracture of the left medial malleolus. There is soft tissue swelling involving both distal left and right hind limbs (right worse than left). There is gas noted in the soft tissue of the right distal pelvic limb. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 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': 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': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -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': 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': 0, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'labelling', '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': 0, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 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': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 2403, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-deformity'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2421, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-degeneration'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'thymus-present'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'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': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Implant Motion/Infection'}, {'id': 2586, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subluxation of Ribs'}, {'id': 2594, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fractured Rib Cartilages'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion'}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis'}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)"}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp'}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp'}], 'report_conclusions': 'Conclusions:\nEvidence of multiple appendicular fracture as described.\nSoft tissue swelling and subcutaneous gas as described. Consistent with history of trauma and local hemorrhage/hematoma.\nA cause for the paresis of hindlimb neurological signs is not determined in the images provided. Appendicular fractures as described above may be the cause of non-weight bearing lameness.\nThe appearance of an enlarged liver is likely secondary to the age of the patient.\n\nRecommendations:\nRecommend analgesics and stabilization with strict cage rest, and orthopedic consultation to explore best stabilization methods for the described appendicular fracture.\nMedical management as required for soft tissue injury.\nAdvanced imaging such as MRI may be useful for further investigation of the reported neuro signs. Correlate with neurological exam and blood work.'}

{'bday': '2023-05-11', 'name': 'Russell^Boomer', 'breed': 'Domestic Shorthair', 'owner': 'Russell^Sarah', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Woodland Animal Hospital (ER)', 'email': '[email protected]', 'clinician': 'Woodland Animal Hospital'}

HBC on Thr. Presented 5/11, dragging both HL, multiple wounds on hind limbs

Spinal trauma, or fractures of the spine/ disc issues other fractures than the right tibial tarsal

standard

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

['Hit by car', 'Paresis/paralysis both hindlimbs']

['Feline']

[30, 2527]

[2327]

['Fracture']

[]

[1306]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-11-19', 'name': 'Varela^Coco', 'breed': 'YORKSHIRE_TERRIER', 'owner': 'Varela^Johanna', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': "Dolly's Animal Clinic ", 'email': '[email protected]', 'clinician': "DOLLY'S ANIMAL CLINIC"}, 'accept_tos': 'true', 'consult_info': {'case_info': 'The pet has been limping on and off from the right rear leg since 2 months ago. ', 'questions': 'Limping right rear leg'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Gastric - Post prandial ', 'custom_fields': None}, {'id': 364, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': '* Severe degenerative changes in the right hip are most likely the source of the reported signs. These degenerative changes maybe secondary to hip dysplasia given the hip congruity noted. \n - Correlate with orthopedic examination. Consider analgesic and monitor response to therapy. ', 'elapsedTime': 36.245, 'consult_name': 'Hindlimb Hip - chronic hip dysplasia, HOA and HIC', 'custom_fields': None}, {'id': 403, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'M/S GEN - Muscle atropy from disuse', 'custom_fields': {'___d1_': ['right', 'hindlimb']}}], 'signals': [{'id': 2341, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lameness-chronic'}, {'id': 2345, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 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': 2230, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['right']}}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['right']}}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is atrophy of the musculature over the right hind limb.', 'elapsedTime': 7.446, 'signal_name': 'muscle-atrophy', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-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 evidence of hip incongruity of the right hip. There is degenerative joint disease affecting the right coxofemoral joint. There is atrophy of the musculature over the right hind limb. 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': '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': -2, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, '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': 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': -2, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -2, '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': 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': 2272, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'muscle-atrophy'}], 'report_conclusions': '* Severe degenerative changes in the right hip are most likely the source of the reported signs. These degenerative changes maybe secondary to hip dysplasia given the hip congruity noted. \n - Correlate with orthopedic examination. Consider analgesic and monitor response to therapy. \n* The muscle atrophy noted in the right, hindlimb is likely secondary to disuse given the history. \n - Correlate with history and physical examination. Neurologic examination and advanced imaging may be considered for further investigation. \n* Gastric material is consistent with food/recent meal. '}

{'bday': '2022-11-19', 'name': 'Varela^Coco', 'breed': 'YORKSHIRE_TERRIER', 'owner': 'Varela^Johanna', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

{'name': "Dolly's Animal Clinic ", 'email': '[email protected]', 'clinician': "DOLLY'S ANIMAL CLINIC"}

The pet has been limping on and off from the right rear leg since 2 months ago.

Limping right rear leg

expert

['Musculoskeletal-area']

['Chronic lameness', 'Hindlimb lameness']

[]

[2341, 2345]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-03-02', 'name': 'Willson^MIA', 'breed': 'Boxer', 'owner': 'Willson^Carey', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Presented for having D+ this morning. P does have a history of IBD and UTI's. No V+. P did not eat this morning. ", 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 712, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 123.481, 'consult_name': 'Intestines - Poss 2 pops vs colon', 'diagnosis_custom_text': 'A portion of distended bowel is observed, however, given its location it cannot be differentiated from colon. Foreign mineral material is observed within the same area. A concurrent stricture or intestinal lesion cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is spondylosis deformans noted in the thoracolumbar and lumbosacral spine. ', 'elapsedTime': 45.393, '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': 15, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-obstruction', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['mineral']}}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is radiopaque/mineral material within the stomach. ', 'elapsedTime': 15.285, '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': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [{'id': 145, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Inflammatory bowel disease (IBD)'}, {'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'}], 'internal_notes': 'Not sure about the codes', 'recommendations': [], 'report_findings': 'Abdomen\nThere is radiopaque/mineral material within the stomach. There is mineral foreign material located within the small intestine. There is presence of distension of a portion of small intestine and a population of non-distended intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar and lumbosacral 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': 'labelling', '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': 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': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'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': 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': 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. Foreign mineral material is observed within the same area. A concurrent stricture or intestinal lesion cannot be ruled out.\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\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.\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified."}

{'bday': '2014-03-02', 'name': 'Willson^MIA', 'breed': 'Boxer', 'owner': 'Willson^Carey', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Presented for having D+ this morning. P does have a history of IBD and UTI's. No V+. P did not eat this morning.

expert

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

['Diarrhea', 'Anorexia']

['Vomiting']

[76, 606]

[256]

['Inflammatory bowel disease (IBD)', 'Urinary tract infection (UTI)']

[]

[145, 2229]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-07-13', 'name': 'Adorno^CALLE', 'breed': 'Yorkshire Terrier', 'owner': 'Adorno^Krystal', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Calle is a 7 YO M Yorkshire terrier who was transferred for dog bite wounds. The neighbor dog attacked pet. pDVM found hematoma over right chest and was unsure if p had pneumothorax. There was also a puncture on the right upper arm. Original radiographs show mild pneumothorax. On exam: Large pocket of SQ emphysema right lateral chest, puncture over right humerus that is bleeding, puncture over right lateral abdominal region that is not bleeding. Staples placed at puncture over right forelimb and single cruciate over small puncture over right lateral thorax.', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 344, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* Traumatic pneumothorax with possible pulmonary contusions.\n - Consider supplemental oxygen therapy and thoracocentesis for the management of traumatic pneumothorax.', 'consult_name': 'Resp Pleural - trauma, no resp signs, PNX, +/- rib fracture', 'custom_fields': None}, {'id': 402, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'M/S GEN - Traumatic rib fracture', 'custom_fields': None}, {'id': 497, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': '* Subcutaneous gas and soft tissue swelling present likely secondary to trauma. ', 'consult_name': 'Subcut - Gas, trauma', 'custom_fields': None}, {'id': 710, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': '* There appears to be free fluid in the abdomen. Likely due to hemorrhage but organ rupture or artefactual loss of detail due to the summation of overlapping soft tissue structures cannot be excluded. \n - For further assessment, advise abdominal ultrasound with abdominocentesis and analysis of the peritoneal fluid.', 'consult_name': 'Peritoneal - LAD, with trauma', 'custom_fields': None}], 'signals': [{'id': 37, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Bitten'}], 'findings': [{'id': 7, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'lung-pneumothorax', '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': 762, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is gas noted in the soft tissue of the chest (worse on the right side). ', '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': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': {'___s1_': ['right', ',10th', ',11th']}}, {'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 chest (worse on the right side). ', 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2280, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['mixed interstitial to alveolar']}}, {'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': 2384, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is a surgical staples consistent with noted procedure: wound closure. ', 'elapsedTime': 24.466, 'signal_name': 'surgical-device', 'custom_fields': None}], 'diagnosis': [{'id': 2329, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Bite injury - dog bite'}, {'id': 4750, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Puncture-wounds'}], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is increased opacity throughout the lung fields, characterized as a mixed interstitial to alveolar pattern. There is evidence of pleural gas. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is a fracture of the right, ,10th, ,11th rib. There is soft tissue swelling involving chest (worse on the right side). There is gas noted in the soft tissue of the chest (worse on the right side). There is a surgical staples consistent with noted procedure: wound closure. 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': 'labelling', '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': 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': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 0, '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': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 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': 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': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 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': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'surgical-device'}, {'id': 2403, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-deformity'}, {'id': 2421, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-degeneration'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'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': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'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'}], 'report_conclusions': '* There appears to be free fluid in the abdomen. Likely due to hemorrhage but organ rupture or artefactual loss of detail due to the summation of overlapping soft tissue structures cannot be excluded. \n - For further assessment, advise abdominal ultrasound with abdominocentesis and analysis of the peritoneal fluid.\n* Traumatic pneumothorax with possible pulmonary contusions.\n - Consider supplemental oxygen therapy and thoracocentesis for the management of traumatic pneumothorax.\n* Traumatic rib fractures as outlined.\n - Consider medical stabilization, supportive external bandage, and surgical exploration when stable for traumatic rib fractures as outlined.\n* Subcutaneous gas and soft tissue swelling present likely secondary to trauma. '}

{'bday': '2016-07-13', 'name': 'Adorno^CALLE', 'breed': 'Yorkshire Terrier', 'owner': 'Adorno^Krystal', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

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

Calle is a 7 YO M Yorkshire terrier who was transferred for dog bite wounds. The neighbor dog attacked pet. pDVM found hematoma over right chest and was unsure if p had pneumothorax. There was also a puncture on the right upper arm. Original radiographs show mild pneumothorax. On exam: Large pocket of SQ emphysema right lateral chest, puncture over right humerus that is bleeding, puncture over right lateral abdominal region that is not bleeding. Staples placed at puncture over right forelimb and single cruciate over small puncture over right lateral thorax.

expert

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

['Bitten/attacked by other animal']

[]

[37]

[]

['Bite injury - dog bite', 'Puncture wounds']

[]

[2329, 4750]

[]

[]

[]

[]

[]

{'patient': {'bday': '2007-02-12', 'name': 'Zeigler/Adams^CHICO', 'breed': 'Chihuahua', 'owner': 'Zeigler/Adams^Faye', 'gender': 'M', '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': 'Patient presented for assessment after possibly injuring his back.\r\n\r\nNormally, O picks him up to get on/off the couch. Tonight he may have jumped off on his own, O is unsure. He was walking with a hunched back, and crying. He was also weak in his hind end.\r\n\r\nP has been having some signs of dementia at home, but has not cried at all until tonight.\r\n\r\nOn physical exam, he is ambulatory, weak in hind end and has thoracolumbar back pain.', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Gastric - Post prandial ', 'custom_fields': None}, {'id': 384, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': '* Suspicion of disc space narrowing. The reported signs could be due to disc prolapse or extrusion at the site. Fibrocartilaginous embolism could also be considered. No other radiographic evidence of a cause of clinical signs. \n - Consider advanced imaging such as a myelogram or an MRI scan for further investigation of the reported disc space narrowing and potential disc prolapse or extrusion.', 'elapsedTime': 51.179, 'consult_name': 'Spine - TID/CID, paresis/paralysis or hindlimb weakness', 'custom_fields': None}], 'signals': [{'id': 71, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Crying'}, {'id': 121, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Hunched up'}, {'id': 286, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Weak legs'}, {'id': 629, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - musculoskeletal'}], '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': 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': 2158, 'source': 'labelling', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['C-C4', 'C4-C5']}}, {'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': 1699, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Cognitive dysfunction'}], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at C-C4, C4-C5. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': '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': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -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': 'labelling', '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': 0, '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': 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': 'labelling', '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': '* Suspicion of disc space narrowing. The reported signs could be due to disc prolapse or extrusion at the site. Fibrocartilaginous embolism could also be considered. No other radiographic evidence of a cause of clinical signs. \n - Consider advanced imaging such as a myelogram or an MRI scan for further investigation of the reported disc space narrowing and potential disc prolapse or extrusion.\n* Gastric material is consistent with food/recent meal. '}

{'bday': '2007-02-12', 'name': 'Zeigler/Adams^CHICO', 'breed': 'Chihuahua', 'owner': 'Zeigler/Adams^Faye', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

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

Patient presented for assessment after possibly injuring his back. Normally, O picks him up to get on/off the couch. Tonight he may have jumped off on his own, O is unsure. He was walking with a hunched back, and crying. He was also weak in his hind end. P has been having some signs of dementia at home, but has not cried at all until tonight. On physical exam, he is ambulatory, weak in hind end and has thoracolumbar back pain.

standard

['Musculoskeletal-area']

['Crying/yelping', 'Hunched up', 'Weak legs', 'Pain - musculoskeletal']

[]

[71, 121, 286, 629]

[]

['Cognitive dysfunction']

[]

[1699]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-06-16', 'name': 'Logan^Kaino^^^', 'breed': 'cane Korso', 'owner': 'Joe Logan', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Paris Veterinary Clinic', 'email': '[email protected]', 'clinician': 'Paris Veterinary Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Intermittent lameness now progressing to more lameness especially in morning on left forelimb. All radiographs are of left forelimb. Limping first noted at about a year of age', 'questions': 'Elbow. Is this surgical'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 375, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': '* Elbow dysplasia- ununited anconeal process with signs of degenerative changes noted in the left elbow.\n - Consider additional views or CT scan of the elbows for comparison, and orthopedic consult for further evaluation of the ununited anconeal process.', 'elapsedTime': 45.144, 'consult_name': 'Forelimb Elbow - UAP, elbow dysplasia', 'custom_fields': None}], 'signals': [{'id': 2341, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lameness-chronic'}, {'id': 2346, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lameness-forelimb'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['left']}}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is a radiolucent line separating the anconeal process and the proximal ulna indicative of an ununited anconeal process of the left forelimb. ', 'elapsedTime': 13.001, 'signal_name': 'ununited-anconeal-process', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere are degenerative changes noted in the left elbow. There is a radiolucent line separating the anconeal process and the proximal ulna indicative of an ununited anconeal process of the left forelimb. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 17, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'elbow-osteophytosis'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'ununited-anconeal-process'}], 'report_conclusions': '* Elbow dysplasia- ununited anconeal process with signs of degenerative changes noted in the left elbow.\n - Consider additional views or CT scan of the elbows for comparison, and orthopedic consult for further evaluation of the ununited anconeal process.'}

{'bday': '2022-06-16', 'name': 'Logan^Kaino^^^', 'breed': 'cane Korso', 'owner': 'Joe Logan', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

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

Intermittent lameness now progressing to more lameness especially in morning on left forelimb. All radiographs are of left forelimb. Limping first noted at about a year of age

Elbow. Is this surgical

expert

['Musculoskeletal-area']

['Chronic lameness', 'Forelimb lameness']

[]

[2341, 2346]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-12-23', 'name': 'Tyson', 'breed': 'French Bulldog', 'owner': 'Kirby Wall', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'South Fulton Pet Care', 'email': '[email protected]', 'clinician': 'SOUTH FULTON PET CARE'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for incontinence for one month duration and swollen mandibular lymph nodes for one week duration. Appetite is normal and activity levels are normal. Palpable mass in the abdomen noted. Pet had IVDD 3 months prior and fully recovered.', 'questions': 'Does this pet has a mass in the liver or stomach area?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 189, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hepatomegaly - Mass', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 228, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - incidental VAN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 878, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - moderate distension with fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 124, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Urinary incontinence'}, {'id': 131, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 607, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'hyporexia'}], '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': 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': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2368, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-mass', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [{'id': 28, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Mass lesion - abdominal'}, {'id': 702, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Lymphadenitis'}], 'questions': [{'id': 2518, 'source': 'labelling', 'signal_name': 'oral-area'}, {'id': 2521, 'source': 'labelling', 'signal_name': 'Neoplasia-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears enlarged causing mild caudal displacement of the stomach. There appears to be a well-defined soft tissue opacity mass at the caudoventral margin of the liver. There is distension of the stomach with presence of radiopaque material. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nVertebral anomaly is noted at multiple thoracic vertebrae. 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': 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': 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': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'tracheal-narrowing'}, {'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': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 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': 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': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'liver-mass'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'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': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nSuspected hepatic mass. Differentials may include neoplasia, nodular hyperplasia, abscess, hematoma, cyst.\nVertebral anomaly. Likely incidental.\nModerate distenion of the stomach with fluid is observed. Consider outflow obstruction, severe gastritis, or atony.\n\nRecommendations:\nConsider abdominal ultrasound and FNA sampling +/- biopsy for further investigation of the suspected hepatic mass to determine etiology.\nCorrelate with physical exam for clinical significance of the vertebral anomaly.\nConsider repeating fasting abdominal radiographs in 12-24 hours to assess gastric emptying, and depending on clinical signs and history, consider abdominal ultrasound or endoscopy for further investigation.'}

{'bday': '2020-12-23', 'name': 'Tyson', 'breed': 'French Bulldog', 'owner': 'Kirby Wall', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'South Fulton Pet Care', 'email': '[email protected]', 'clinician': 'SOUTH FULTON PET CARE'}

Presented for incontinence for one month duration and swollen mandibular lymph nodes for one week duration. Appetite is normal and activity levels are normal. Palpable mass in the abdomen noted. Pet had IVDD 3 months prior and fully recovered.

Does this pet has a mass in the liver or stomach area?

expert

['oral-area', 'Neoplasia-area']

['Urination abnormal - incontinence', 'Lethargic/tired']

['Hyporexia']

[124, 131]

[607]

['Mass lesion - abdominal', 'Lymphadenitis']

[]

[28, 702]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-06-16', 'name': 'COPPER', 'breed': 'Doberman Mix', 'owner': 'WOZNIAK', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'clinician': 'Dr. Brown'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Acute lameness left rear leg. Anterior drawer sign in left rear stifle. Suspect anterior cruciate rupture. No fractures palpated. Temp 102.4', 'questions': 'Open'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1030, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1041, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 1146, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hindlimb Stifle - mild/questionable stifle effusion with SOA', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2185, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 10, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['left']}}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 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': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 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': 1306, 'state': 'normal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Fracture'}], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [{'id': 1015, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'cranial-drawer-test'}], 'report_findings': 'Musculoskeletal\nThere is increased soft tissue opacity in the stifle joint noted in the left 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': 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': 2, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion'}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement'}], 'report_conclusions': 'Conclusions:\nThe increased soft tissue opacity and osteoarhtitis noted in the indicated stifle is most consistent with intra-articular injury (CCL strain or partial tear or meniscal injury) however, given the minimal nature of this finding may be secondary to positioning or technique of the radiographs.\n\nRecommendations:\nCorrelate with orthopedic examination and consider medical management including rest for further investigation of the increased soft tissue opacity noted in the stifle. Specialty orthopedic consultation should also be considered for further discussion of treatment options. '}

{'bday': '2017-06-16', 'name': 'COPPER', 'breed': 'Doberman Mix', 'owner': 'WOZNIAK', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Acute lameness left rear leg. Anterior drawer sign in left rear stifle. Suspect anterior cruciate rupture. No fractures palpated. Temp 102.4

Open

expert

['Musculoskeletal-area']

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

[]

[2185, 2656]

[]

[]

['Fracture']

[]

[1306]

['Cranial drawer test']

[]

[1015]

[]

{'patient': {'bday': '2023-08-29', 'name': 'Donally^Millie', 'breed': 'Jack Russell Terrier', 'owner': 'Donally^Cliffton', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Moncton Urgent Care', 'email': '[email protected]', 'clinician': 'MVUC'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Acute profuse vomiting/gagging since this afternoon. Concern for FB.', 'questions': 'Foreign body/obstruction? '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1024, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'partial', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}, {'id': 1053, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 244, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 22.485, 'consult_name': 'Intestines - Poss 2 pops, no obvious FB', 'diagnosis_custom_text': 'The changes noted in the small intestines is suspicious for a two populations of small intestine. This most commonly represents a mechanical obstruction vs linea foreign body though severe enteritis cannot always be ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend abdominal ultrasound for further investigation of distended small intestines and confirmation of a possible intestinal obstruction prior to abdominal exploratory surgery. Medical management with follow-up radiographs may be a consideration if the patient is closely monitored for any change in status.', 'recommendation_custom_fields': None}, {'id': 349, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Gastric - Aerophagia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 713, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 17.338, 'consult_name': 'Esoph - No regurg, ESD, moderate, esophagitis', 'diagnosis_custom_text': 'Esophageal distention as described. Differentials may include esophagitis and esophageal dysmotility. Cannot rule out megaesophagus. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 521, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 2184, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}, {'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': 14, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is possible bunching of the small intestine. ', 'elapsedTime': 8.557, 'signal_name': 'intestines-small-foreign-body', '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': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['small amount of mineral']}}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 799, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'esophagus-distension', 'custom_fields': {'___s1_': ['intra-thoracic'], '___s2_': ['diffusely']}}, {'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': 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': 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': 2315, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': None}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': {'___s1_': ['gas and fluid']}}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2520, 'source': 'labelling', 'signal_name': 'screening-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe intra-thoracic esophagus appears diffusely distended. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is distension of the stomach with gas. There is small amount of mineral foreign material located within the small intestine. There is possible bunching of the small intestine. There is presence of distension of a portion of small intestine and a population of non-distended intestine. There is diffuse distension of the small intestine with gas and fluid. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 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': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fluid-distension-SI'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 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': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}], 'report_conclusions': 'Conclusions:\nThe changes noted in the small intestines is suspicious for a two populations of small intestine. This most commonly represents a mechanical obstruction vs linea foreign body though severe enteritis cannot always be ruled out.\nEsophageal distention as described. Differentials may include esophagitis and esophageal dysmotility. Cannot rule out megaesophagus.\nThe gas distension observed in the GI tract is most consistent with aerophagia.\n\nRecommendations:\nRecommend abdominal ultrasound for further investigation of distended small intestines and confirmation of a possible intestinal obstruction prior to abdominal exploratory surgery. Medical management with follow-up radiographs may be a consideration if the patient is closely monitored for any change in status.\nConsider medical management for possible esophagitis. Endoscopy or fluoroscopy may help further characterize the changes noted.\nCorrelate with clinical signs and exam for clinical significance of gastric gas distension.'}

{'bday': '2023-08-29', 'name': 'Donally^Millie', 'breed': 'Jack Russell Terrier', 'owner': 'Donally^Cliffton', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Moncton Urgent Care', 'email': '[email protected]', 'clinician': 'MVUC'}

Acute profuse vomiting/gagging since this afternoon. Concern for FB.

Foreign body/obstruction?

expert

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

['Vomiting', 'Gagging/retching', 'Suspected foreign body ingestion', 'Canine Small Breed']

[]

[256, 521, 2184, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-08-19', 'name': 'WRIGHT^ODIN', 'breed': 'Bull Terrier', 'owner': 'WRIGHT^', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Best Care Animal Hospital Matthews & Charlotte', 'email': '[email protected]', 'clinician': 'Best Care Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Ate cardboard and toilet paper on Sunday.\r\nBloody stool this morning and straining. \r\nDidn't eat/drink well this weekend.\r\nAte his food this morning. \r\n\r\n\r\nSomeone else brought him and doesn't know much.\r\n", 'questions': 'obstruction ?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1020, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'rules'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 307, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 54.43, 'consult_name': 'Resp Bronchial - Bronchointerstitial pattern and cough', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical exam for clinical significance.\n', 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 76.975, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': 'Fecal retention noted. Rule out constipation. Stool admixed with foreign material is possible.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 712, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 136.77, 'consult_name': 'Intestines - Poss 2 pops vs colon', 'diagnosis_custom_text': 'Possible non-obstructive foreign material is observed within the bowel, however, its location cannot be differentiated from small intestine vs colon. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider abdominal ultrasound for further investigation of the noted foreign material. Or monitor response to medical management and recheck radiographs in 12-24 hours to reassess the intestinal gas patternan monitor movement of the material. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 77, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhoea with blood'}, {'id': 92, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 243, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Straining to defaecate'}, {'id': 251, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Foreign body ingestion'}, {'id': 607, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 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': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['soft tissue']}}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 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': 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': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2488, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': {'___s1_': ['moderate']}}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is mildly increased opacity in the lung fields indicative of a bronchointerstitial pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is an accumulation of fecal material in the colon. There is possible soft tissue foreign material located within the small intestine. There is moderate distention of the colon with stool. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': 2, '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': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -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': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2487, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'colon-distension'}, {'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': 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:\nPossible non-obstructive foreign material is observed within the bowel, however, its location cannot be differentiated from small intestine vs colon.\nFecal retention noted. Rule out constipation. Stool admixed with foreign material is possible.\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.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nConsider abdominal ultrasound for further investigation of the noted foreign material. Or monitor response to medical management and recheck radiographs in 12-24 hours to reassess the intestinal gas patternan monitor movement of the material.\nCorrelate with clinical history to rule out constipation.\nCorrelate with physical exam for clinical significance.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2019-08-19', 'name': 'WRIGHT^ODIN', 'breed': 'Bull Terrier', 'owner': 'WRIGHT^', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Ate cardboard and toilet paper on Sunday. Bloody stool this morning and straining. Didn't eat/drink well this weekend. Ate his food this morning. Someone else brought him and doesn't know much.

obstruction ?

expert

['Gastrointestinal-area']

['Diarrhoea with blood', 'Dietary indiscretion', 'Straining to defaecate', 'Foreign body ingestion', 'Hyporexia', 'Canine Medium/Large Breed']

[]

[77, 92, 243, 251, 607, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-10-20', 'name': 'Zucal^Clancy', 'breed': 'CLUMBER_SPANIEL', 'owner': 'Zucal^Kirk', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Piper Veterinary Clinic', 'email': '[email protected]', 'clinician': 'Piper Veterinary Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Noted when taking P to the scale significant hematuria. P E/D normal. No C/S/V/D. ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'manual'}, 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'custom_text': None, 'consult_name': 'Gastric - Post prandial ', 'custom_fields': None}, {'id': 364, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': None, 'consult_name': 'Hindlimb Hip - chronic hip dysplasia, HOA and HIC', 'custom_fields': None}, {'id': 424, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'Repros - PMG, intact male', 'custom_fields': None}, {'id': 482, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* Thorough assessment of the bladder is limited due to overlapping small intestines. \n - Consider abdominal ultrasound for further investigation of the bladder.', 'elapsedTime': 56.483, 'consult_name': 'Missing Information', 'custom_fields': None}, {'id': 777, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Bladder - Ureteral calculi, incidental finding', 'custom_fields': None}, {'id': 797, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'custom_text': '* Mineral opacities noted in the caudal abdomen may be associated with the pelvis/prostate. \n - Consider abdominal ultrasound to identify structures associated with noted mineralization in the abdomen.', 'consult_name': 'Peritoneal - Mineralization, unknown', 'custom_fields': None}], 'signals': [{'id': 2535, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'eating-normally'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 1635, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'prostate-visible', 'custom_fields': None}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'elapsedTime': 58.056, 'signal_name': 'Ureteral-stone', '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'}, {'id': 2514, 'source': 'labelling', 'signal_name': 'Reproductive-area'}], 'internal_notes': '* Mineral opacities noted in the caudal abdomen may be associated with the pelvis or prostate. \n - Consider abdominal ultrasound to identify structures associated with noted mineralization in the abdomen.\nThe opacities are ventral to the pelvis on lateral and on VD cranial to the pubis on both sides ', 'recommendations': [{'id': 265, 'source': 'labelling', 'recommendation_name': 'General examination'}], 'report_findings': 'Abdomen\nThe prostate is prominent. There is increased opacity noted in the caudal retroperitoneal space noted on the right lateral view. There are also two distinct mineral opacities noted caudoventral to the prominent prostate. 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 joint disease affecting the left and right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 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': 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': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 745, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'uterus-distension-old'}, {'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': 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': 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': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2229, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}, {'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': 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': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'enthesopathy'}, {'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': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation'}, {'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': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}], 'report_conclusions': '* Increased size of the prostate gland is likely secondary to benign hypertrophy being an intact male. \n - Correlate with rectal exam and clinical signs for clinical significance of the enlarged prostate. \n* Thorough assessment of the bladder is limited due to overlapping small intestines. \n - Consider abdominal ultrasound for further investigation of the bladder.\n* Suspected urolithiasis noted in the ureter(s). Likely incidental. \n - Consider an abdominal ultrasound for further investigation of suspected urolithiasis. Correlate with biochemistry profile and urinalysis.\n* Osteoarthritis of the hips secondary to hip dysplasia.\n - Correlate with orthopedic examination for further evaluation of osteoarthritis secondary to hip dysplasia.\n* Mineral opacities noted in the caudal abdomen may be associated with the pelvis/prostate. \n - Consider abdominal ultrasound to identify structures associated with noted mineralization in the abdomen.\n* Gastric material is consistent with food/recent meal. '}

{'bday': '2020-10-20', 'name': 'Zucal^Clancy', 'breed': 'CLUMBER_SPANIEL', 'owner': 'Zucal^Kirk', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

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

Noted when taking P to the scale significant hematuria. P E/D normal. No C/S/V/D.

expert

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

['Eating normally']

[]

[2535]

[]

['Haematuria']

[]

[2192]

[]

[]

['General examination']

[]

[265]

{'patient': {'bday': '2024-03-31', 'name': 'Urgent^Patient^^^', 'breed': 'Domestic Shorthair', 'owner': 'Edgar and Ivy Rescue', 'gender': 'F', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Everhart Animal Hospital', 'email': '[email protected]', 'clinician': 'Tim Tristan'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Post partum. Had kittens overnight. Now in respiratory distress', 'questions': 'Respiratory distress'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1013, 'state': 'partial', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1021, 'state': 'excluded', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'excluded', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 879, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly - Mild', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1100, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Cardiomegaly - possible pattern, panting/difficulty breathing', 'diagnosis_custom_text': 'The cardiac silhouette is slightly enlarged making cardiac disease a potential cause of the signs. No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Ideally, an echocardiogram and blood pressure measurement are recommended to investigate further. If an echo cannot be done expeditiously, then consider diuretic therapy in the interim.', 'recommendation_custom_fields': None}], 'signals': [{'id': 2179, 'source': 'ai', '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': 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': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2514, 'source': 'ai', 'signal_name': 'Reproductive-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart appears to be enlarged. Mild generalized bronchointerstitial pattern. The rest of the observed thorax is within normal limits. There is a soft tissue opacity over the pharyngeal region.\n\nAbdomen\nThe liver appears enlarged. Distended tubular structures resembling uterine horns are noted within 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': 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': 707, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -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': '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': 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': -3, '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': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 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': 2451, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Prostate-fp'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'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 is slightly enlarged making cardiac disease a potential cause of the signs. No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion. \n\nRecommendations:\nIdeally, an echocardiogram and blood pressure measurement 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.\nPharyngeal opacity may be artifact as it is at the edge of the film; consider a focused cervical radiograph.'}

{'bday': '2024-03-31', 'name': 'Urgent^Patient^^^', 'breed': 'Domestic Shorthair', 'owner': 'Edgar and Ivy Rescue', 'gender': 'F', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Everhart Animal Hospital', 'email': '[email protected]', 'clinician': 'Tim Tristan'}

Post partum. Had kittens overnight. Now in respiratory distress

Respiratory distress

expert

['Respiratory-area', 'Reproductive-area']

['Respiratory distress']

[]

[2179]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-04-24', 'name': 'Wheeler^SOPHIE', 'breed': 'Mix', 'owner': 'Wheeler^Krista', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'ICU'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presented for limping, jumped off bed last night, non weight bearing, L hind limb ', 'questions': 'non weight bearing limb '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 368, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hindlimb Hip - trauma, hip luxation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 259, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 2185, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2545, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}, {'id': 2548, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'falling off bed/ Fallen off something'}, {'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': 790, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-luxation', 'custom_fields': {'___s1_': ['left']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2230, 'source': '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': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is an accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is luxation of the left coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion'}, {'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': 0, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -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': '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': 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': 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': -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': -2, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 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': 0, 'signal_name': 'urinary-bladder-distension'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'mediastinal-gas-c'}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp'}, {'id': 2403, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'sternal-deformity'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2421, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'sternal-degeneration'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'thymus-present'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'urinary-bladder-gas'}, {'id': 2491, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Inter-sternebral narrowing'}, {'id': 2492, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Sternal-subluxation'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone'}, {'id': 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': 2586, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subluxation of Ribs'}, {'id': 2594, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fractured Rib Cartilages'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)"}], 'report_conclusions': 'Conclusions:\nLuxation of the hip likely secondary to trauma.\nMild fecal retention. Rule out constipation.\n\nRecommendations:\nBased on history and other factors, consider options for closed reduction or surgical repair of the luxated hip.\nCorrelate with clinical history to rule out constipation.'}

{'bday': '2011-04-24', 'name': 'Wheeler^SOPHIE', 'breed': 'Mix', 'owner': 'Wheeler^Krista', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

P presented for limping, jumped off bed last night, non weight bearing, L hind limb

non weight bearing limb

expert

['Musculoskeletal-area']

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

[]

[259, 2185, 2545, 2548, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2009-01-01', 'name': 'Rescue^Richard', 'breed': 'DSH', 'owner': 'Nina Antonucci', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Down Maine Veterinary Clinic', 'email': '[email protected]', 'clinician': 'Down Maine Veterinary Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': '1 week history of progressive wet cough. History of eye enucleation d/t suspected tumor.', 'questions': ''}}

{'tags': {'userTags': ['unacceptable'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['pulmonary-vessel-congestion', 'right-heart-enlargement']}, 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Gastric - Food vs foreign, asymptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - TID/CID with spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 665, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Bronchial - Feline, BPP, hyperinflation, feline asthma', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 712, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Intestines - Poss 2 pops vs colon', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 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}], 'signals': [{'id': 69, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is spondylosis deformans noted in the thoracic and lumbosacral 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': 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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The liver appears mildy enlarged. ', 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is intervertebral disc space narrowing at T2-T5. ', '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': 2453, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hyperinflation-lungs', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}], 'internal_notes': 'No BPP, hyperinflation, possible SIO/ileus', 'recommendations': [{'id': 421, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Eye: Enucleation'}], 'report_findings': 'Thorax\nThere is a generalized decrease in lung opacity. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears mildy enlarged. There is radiopaque material within the stomach. There is presence of distension of a portion of small intestine and a population of non-distended intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at T2-T5. There is spondylosis deformans noted in the thoracic and lumbosacral spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-obstruction'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 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': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'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': 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': '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': -3, 'signal_name': 'body-score'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 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': 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': 2453, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'hyperinflation-lungs'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass'}, {'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': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nHyperinflated lungs and bronchial markings are concerning for feline asthma/bronchitis.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\nA portion of distended bowel is observed, however, given its location it cannot be differentiated from colon.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\nGastric material. This is consistent with food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\n\nRecommendations:\nCorrelate with clinical findings and history to help confirm feline asthma/bronchitis.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.\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.\nCorrelate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of non-obstructive foreign material.'}

{'bday': '2009-01-01', 'name': 'Rescue^Richard', 'breed': 'DSH', 'owner': 'Nina Antonucci', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

1 week history of progressive wet cough. History of eye enucleation d/t suspected tumor.

standard

['Respiratory-area']

['Coughing']

[]

[69]

[]

[]

[]

[]

[]

['Eye: Enucleation']

[]

[421]

[]

{'patient': {'bday': '2007-12-31', 'name': 'Cullen^Rufus', 'breed': 'Shorthair, Domestic', 'owner': 'Cullen^Patrick', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'clinician': 'Govinder Basi'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Last urination was last night. No blood noticed in litter box. No bowel movement since saturday\r\nVocal when going to LB around 9pm tonight\r\nED:normal, Energy:lower, No CSVD\r\nhas been blocked twice before, had crystals', 'questions': 'Has been straining he did urinate today so owners unsure if the straining was defecation or urine'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1023, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'empty', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 195, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spleen feline - Visible', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 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': 228, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - incidental VAN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 232, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Peritoneal - Bates body', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 390, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - LS degeneration, no neuro signs', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 421, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Bladder Feline - Normal urinary, symptomatic (FLUTD)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 243, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Straining to defaecate'}, {'id': 265, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Stranguria'}, {'id': 512, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Defaecation abnormal - decreased frequency'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 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': 1937, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-visible', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T13']}}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bates-body', 'custom_fields': {'___s1_': ['right', 'mid']}}, {'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_': ['L7-S1']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2418, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lumbosacral-degeneration', 'custom_fields': None}, {'id': 2498, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Lumbosacral-stenosis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': "Abdomen\nThere is a mineralized focal soft tissue nodule located in the right and mid abdomen likely representing a Bate's body (idiopathic fat necrosis). The spleen is visualized in the cranioventral abdomen. There 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 intervertebral disc space narrowing at L7-S1. There is spondylosis deformans noted in the lumbar spine. Vertebral anomaly is noted at ,T13. There are degenerative changes noted at the lumbosacral junction. There appears to be misalignment of the sacrum with L7. The rest of the observed musculoskeletal system is within normal limits.", 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 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': 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': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -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': 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': 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': 0, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 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': 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': 2293, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'bates-body'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 2560, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'splenic-nodule'}, {'id': 2561, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'irregular-splenic-margins'}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'splenic-mass'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': "Conclusions:\nNo urinary causes noted radiographically for straining, feline lower urinary tract disease could be a primary differential if straining is linked to urinary system. Mild fecal retention noted, rule out constipation. Visualization of the spleen may be normal variation or due to infiltrative disease such as lymphosarcoma, mast cell neoplasia, or other. Lumbosacral degeneration and vertebral anomaly noted, likely incidental. Nodular fat necrosis (Bate's body) noted in the abdomen, likely incidental. Gastric material noted is consistent with food/recent meal.\n\nRecommendations:\nSummary:\n- Correlate with biochemistry profile and urinalysis. Consider an ultrasound for further investigation of radiolucent stones, neoplastic disease, or polyps as a normal radiograph may not rule them out.\n- Correlate with clinical history and rectal examination. Can consider supportive care and monitor for bowel movement.\n- Consider abdominal ultrasound to further investigate the clinical significance of the visualized spleen, and if enlargement is confirmed, an FNA sample is recommended.\n- Correlate with neurologic examination for clinical significance of lumbosacral degeneration.\n- Correlate with physical exam for clinical significance of the vertebral anomaly."}

{'bday': '2007-12-31', 'name': 'Cullen^Rufus', 'breed': 'Shorthair, Domestic', 'owner': 'Cullen^Patrick', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Last urination was last night. No blood noticed in litter box. No bowel movement since saturday Vocal when going to LB around 9pm tonight ED:normal, Energy:lower, No CSVD has been blocked twice before, had crystals

Has been straining he did urinate today so owners unsure if the straining was defecation or urine

expert

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

['Lethargic/tired', 'Straining to defaecate', 'Urination abnormal - stranguria', 'Defaecation abnormal - decreased frequency', 'Feline']

[]

[131, 243, 265, 512, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-02-28', 'name': 'Williams^NEAL', 'breed': 'Siberian Husky', 'owner': 'Williams^Kimberly', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'ICU'}, 'accept_tos': 'true', 'consult_info': {'case_info': '\t\r\nP presented for not using RH leg after getting into a small fight with housemate over a toy and flipped over/fell on back.\r\n\r\nCurrent Medications: None\r\n\r\nP painful on exam; limping on RH, uncomfortable to pelvic palpation/hip ROM ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 391, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 11.171, 'consult_name': 'M/S GEN - no cause for lameness', 'diagnosis_custom_text': "The cause of the patient's described hindlimb lameness 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': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2345, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2530, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'patient-fell'}, {'id': 2545, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}], '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': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2252, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', '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': 2320, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are factors affecting the cranially positioned stifle preventing adequate interpretation of the joint space. Caudally positioned stifle appears normal.', 'elapsedTime': 78.748, 'signal_name': 'knee-joint-effusion-na', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-area'}, {'id': 2523, 'source': 'labelling', 'signal_name': 'trauma-area'}], 'recommendations': [{'id': 269, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Lameness examination'}], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere are factors affecting the cranially positioned stifle preventing adequate interpretation of the joint space. Caudally positioned stifle appears normal. 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': 0, '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': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'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': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'patellar-luxation'}, {'id': 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': 2320, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'knee-joint-effusion-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': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation'}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement'}], 'report_conclusions': "Conclusions:\nThe radiographs did not identify the cause of the patient's described hindlimb lameness. 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 medical management for soft tissue injury to include NSAIDs and pain management with exercise restriction. Consider antimicrobials if puncture wounds and/or blood are visible. If the physical exam suggests more than a soft tissue injury or there is no response to treatment, consider sedation and additional views of the region of interest +/- orthopedic consult."}

{'bday': '2015-02-28', 'name': 'Williams^NEAL', 'breed': 'Siberian Husky', 'owner': 'Williams^Kimberly', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

P presented for not using RH leg after getting into a small fight with housemate over a toy and flipped over/fell on back. Current Medications: None P painful on exam; limping on RH, uncomfortable to pelvic palpation/hip ROM

expert

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

['Hindlimb lameness', 'Fell/dropped', 'Non-weight bearing lameness']

[]

[2345, 2530, 2545]

[]

[]

[]

[]

[]

['Lameness examination']

[]

[269]

[]

{'patient': {'bday': '2021-08-07', 'name': 'Habte^Bella^^^', 'breed': 'Standard Poodle', 'owner': 'Beruk Habte', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Elkridge Animal Hospital', 'email': '[email protected]', 'clinician': 'Elkridge Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Slightly labored breathing. Sensitive over thoracic vertebrae. Walking ok. Lethargic.', 'questions': 'Lethargic'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1020, 'state': 'partial', 'source': 'labelling'}, {'id': 1021, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}, {'id': 1032, 'state': 'empty', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1044, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'normal', 'source': 'labelling'}, {'id': 1096, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 218, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 4.102, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/ lethargy', 'diagnosis_custom_text': '..', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 500, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Intestines - FB small (incidental)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'normal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Negative - Cardiac/lung Screening, normal', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1059, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Negative - No cause for pain/ panting/ heavy breathing', 'diagnosis_custom_text': 'No 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. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend supportive care for the reported clinical signs. Re-evaluate as clinically indicated to further investigate the possible sources of discomfort.', 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 283, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abnormal gait'}, {'id': 631, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - spinal'}, {'id': 2179, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2180, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Abnormal Respiration'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is mineral and food/fecal material located within the small intestine.', 'elapsedTime': 2.953, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 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': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 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': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2679, 'source': 'labelling', 'signal_name': 'spine-neurological-ivdd-pain'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach. There is mineral and food/fecal 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': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 2, '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': 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': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 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': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2290, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-foreign-body'}, {'id': 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': 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': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp'}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp'}], 'report_conclusions': 'Conclusions:\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 cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology. Pulmonary hypertension. is a possible differential for the labored breathing.\nGastric material is consistent with food/recent meal.\nSmall intestinal foreign material as described likely to pass on its own. No evidence of obstruction noted. Likely incidental.\n\nRecommendations:\nRecommend supportive care for the reported clinical signs. Re-evaluate as clinically indicated to further investigate the possible sources of discomfort.\nAn echocardiogram maybe considered to rule our pulmonary hypertension as a cause of the reported labored breathing. \nCorrelate with a minimum database including blood work and urinalysis. Further historical context and/or follow up evaluation may be indicated. Re-evaluation of radiographs in time or ultrasound may also be indicated to further investigate the reported non-specific signs.\nConsider follow up radiographs to ensure passage of the described intestinal foreign body. Monitor for development of clinical signs.'}

{'bday': '2021-08-07', 'name': 'Habte^Bella^^^', 'breed': 'Standard Poodle', 'owner': 'Beruk Habte', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Slightly labored breathing. Sensitive over thoracic vertebrae. Walking ok. Lethargic.

Lethargic

standard

['Respiratory-area', 'Musculoskeletal-area', 'spine-neurological-ivdd-pain']

['Lethargic/tired', 'Pain - spinal', 'Respiratory distress', 'Abnormal respiration', 'Canine Medium/Large Breed']

['Abnormal gait']

[131, 631, 2179, 2180, 2656]

[283]

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{'patient': {'bday': '2016-08-01', 'name': 'Godric', 'breed': 'DSH', 'owner': 'Ogden, Rebecca', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Little Paws Animal Clinic (Hanover, PA)', 'email': '[email protected]', 'clinician': 'Little Paws Animal Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': ' P went to ER clinic on Sat 3/9 after he started vomiting and lost appetite on Wednesday 3/6. P was vomiting about 3X daily from Wed - Sat. P is doing okay. O said P is active but is sleeping and hiding a lot. P has not vomited since his ER visit on the 9th. P is drinking a little bit of water but is still not eating. O has tried different foods but P is not interested. P has not had a BM since last Tuesday (3/5) O thinks. O is not sure if P ate a toy. \r\nno plants in the house, all other cats are healthy, no new treats or bags of food given prior\r\nowner adopted P from a friend so unsure if FeLV/FIV testing was done \r\nP is urinating in the box but for the past 3 days has been straining to have BM and not producing anything. \r\nBloodwork and U/A - NSF\r\nThere are rads 3/11 and today 3/14. ', 'questions': 'possible intussusception?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1026, 'state': 'normal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'ready', 'source': 'rules'}], 'consult': [{'id': 247, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 76.437, 'consult_name': 'Intestines - Normal, no cause for GI signs', 'diagnosis_custom_text': '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. Chronic enteritis, IBD or neoplastic etiology cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend supportive care. Consider lab testing for pancreatitis. Consider additional orthagonal views for further evaluation. Abdominal ultrasound may also be helpful to further assess gastrointestinal pattern. Correlate with blood work findings. ', 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 606, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is an accumulation of fecal material and gas in the colon. There is mild gas distension of the small intestines. No obstructive pattern, foreign material or plication noted on the image provided.', 'elapsedTime': 55.61, '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': 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'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen.\nAdditional orthogonal view would have provided additional information.\nThere is an accumulation of fecal material and gas in the colon. There is mild gas distension of the small intestines. No obstructive pattern, foreign material or plication noted on the image provided. 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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': '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': -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': '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': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}], 'report_conclusions': 'Conclusions:\nNo obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, hemorrhagic gastroenteritis and dietary indiscretion should be considered. Chronic enteritis, IBD or neoplastic etiology cannot be ruled out.\nMild fecal retention. Rule out constipation.\n\nRecommendations:\nRecommend supportive care. Consider lab testing for pancreatitis. Consider additional orthagonal views for further evaluation. Abdominal ultrasound may also be helpful to further assess gastrointestinal pattern. Correlate with blood work findings.\nCorrelate with clinical history to rule out constipation.'}

{'bday': '2016-08-01', 'name': 'Godric', 'breed': 'DSH', 'owner': 'Ogden, Rebecca', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Little Paws Animal Clinic (Hanover, PA)', 'email': '[email protected]', 'clinician': 'Little Paws Animal Clinic'}

P went to ER clinic on Sat 3/9 after he started vomiting and lost appetite on Wednesday 3/6. P was vomiting about 3X daily from Wed - Sat. P is doing okay. O said P is active but is sleeping and hiding a lot. P has not vomited since his ER visit on the 9th. P is drinking a little bit of water but is still not eating. O has tried different foods but P is not interested. P has not had a BM since last Tuesday (3/5) O thinks. O is not sure if P ate a toy. no plants in the house, all other cats are healthy, no new treats or bags of food given prior owner adopted P from a friend so unsure if FeLV/FIV testing was done P is urinating in the box but for the past 3 days has been straining to have BM and not producing anything. Bloodwork and U/A - NSF There are rads 3/11 and today 3/14.

possible intussusception?

expert

['Gastrointestinal-area']

['Anorexia']

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[606]

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[]

{'patient': {'bday': '2008-05-19', 'name': 'Thomason^Sushi', 'breed': 'Domestic', 'owner': 'Bridget', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Creekside Animal Clinic', 'email': '[email protected]', 'clinician': 'Creekside Animal Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient has a two year history of mild kidney disease (SDMA only) that has been managed with twice weekly SQ fluids and patient has been stable with values returning to normal. Patient has a new baby in the house and has been not eating since. Patient also has a Grade III of VI murmur that has been recently detected. Due to these concerns bloodwork and chest radiographs taken today. ', 'questions': 'Currently the cardiac silhouette to me looks ok but would like radiology opinion (apologizes about the V/D. Patient cooperation was poor). Also renal mineralization is suspected and is this also mineralization along the Ureter(s)?'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1015, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'normal', 'source': 'labelling'}, {'id': 1027, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}, {'id': 1095, 'state': 'normal', 'source': 'labelling'}], 'consult': [{'id': 247, 'state': 'normal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Intestines - Normal, no cause for GI signs', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 274, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiac feline - Normal heart, symptomatic (cardiac dz)/murmur', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 431, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Renal - RMN', 'diagnosis_custom_text': 'The opacity overlying the renal silhouette is representative of renal mineralization together with stones in the ureter and likely chronic renal disease. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1112, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine (General) - Vertebral articular facet arthritis, incidental', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 262, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Trouble eating'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2175, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-mineralization', 'custom_fields': {'___s1_': ['left and right']}}, {'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': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 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': 2502, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Ureteral-stone', 'custom_fields': {'___s1_': ['right']}}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [{'id': 2167, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Chronic kidney (renal) disease (CRF, CKD) (azotaemia unspecified)'}, {'id': 2346, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'kidney-mineralization'}], 'questions': [{'id': 2509, 'source': 'labelling', 'signal_name': 'cardiovascular-area'}, {'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [{'id': 50, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Fluid therapy administration - subcutaneous (SC)'}, {'id': 1068, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'blood-test-complete-blood-count-cbc-'}], '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 left and right kidney. There is increased opacity noted in the region of the right ureter. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': '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': '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': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 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': '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': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 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': 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': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Ureteral-stone'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': 'Conclusions:\nThe cardiovascular structures appear normal though early feline cardiomyopathy may not be associated with changes to the cardiac silhouette.\nThe opacity overlying the renal silhouette is representative of renal mineralization together with stones in the ureter and likely chronic renal disease.\nThe study is most compatible with gastroenteritis. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, hemorrhagic gastroenteritis and dietary indiscretion should be considered.\nOsteoarthritis of the articular facets of the vertebrae. Likely incidental.\n\nRecommendations:\nFor further assessment, an echocardiogram and blood presssure measurment would be optimal to investigate the reported murmur.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for renal disease.\nRecommend supportive care. Consider lab testing for pancreatitis. Depending on lab results, follow-up imaging, abdominal ultrasound may also be helpful to further assess gastrointestinal pattern.\nCorrelate with physical exam for clinical significance.'}

{'bday': '2008-05-19', 'name': 'Thomason^Sushi', 'breed': 'Domestic', 'owner': 'Bridget', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Patient has a two year history of mild kidney disease (SDMA only) that has been managed with twice weekly SQ fluids and patient has been stable with values returning to normal. Patient has a new baby in the house and has been not eating since. Patient also has a Grade III of VI murmur that has been recently detected. Due to these concerns bloodwork and chest radiographs taken today.

Currently the cardiac silhouette to me looks ok but would like radiology opinion (apologizes about the V/D. Patient cooperation was poor). Also renal mineralization is suspected and is this also mineralization along the Ureter(s)?

standard

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

['Trouble eating', 'Anorexia', 'Heart Murmur']

[]

[262, 606, 2175]

[]

['Chronic kidney disease (CKD)', 'Renal Mineralization']

[]

[2167, 2346]

[]

['Fluid therapy administration - subcutaneous (SC)', 'Blood test: Complete Blood Count (CBC)']

[]

[50, 1068]

[]

{'patient': {'bday': '2009-02-18', 'name': 'GEEBEE', 'breed': 'Chihuahua/poodle', 'owner': 'STEPHENS', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'clinician': 'Affordable Animal Emergency'}, 'accept_tos': '1', 'consult_info': {'case_info': 'Attending Vet Dr. Brown hematuria. Frequent urination of small amounts. Temp 100.2', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Gastic - Post prandial ', 'custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': None, 'consult_name': 'Disc narrowing with spondylosis', 'custom_fields': None}, {'id': 420, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'No cause for urinary signs', 'custom_fields': None}, {'id': 429, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* The small kidney(s) may indicate chronic renal disease and may or may not be related to the urinary clinical signs. \n - Correlate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation. ', 'consult_name': 'Small kidney(s), CKD', 'custom_fields': None}], 'signals': [{'id': 684, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Urination abnormal - pollakiuria'}], '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': 798, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'kidney-small', 'custom_fields': {'___s1_': ['left']}}, {'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': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is intervertebral disc space narrowing at L2-L3. ', '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': 2192, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Haematuria'}], 'questions': [{'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}], 'internal_notes': 'Acceptable Hx', 'recommendations': [], 'report_findings': 'Abdomen\nThere is radiopaque material within the stomach. The left kidney measures below normal range. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at L2-L3. There is spondylosis deformans noted in the lumbar 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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'kidney-small'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 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': "* 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 small kidney(s) may indicate chronic renal disease and may or may not be related to the urinary clinical signs. \n - Correlate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation. \n* Gastric material is consistent with food/recent meal. \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': '2009-02-18', 'name': 'GEEBEE', 'breed': 'Chihuahua/poodle', 'owner': 'STEPHENS', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Attending Vet Dr. Brown hematuria. Frequent urination of small amounts. Temp 100.2

expert

['urinary-area']

['Urination abnormal - pollakiuria']

[]

[684]

[]

['Haematuria']

[]

[2192]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-12-11', 'name': 'Asungon^Maggie', 'breed': 'Pomeranian', 'owner': 'Asungon^Anthea', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'clinician': 'Parmjit Dhillon'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Fell off the couch today after jumping off. Non weight bearing on RF leg.', 'questions': ''}}