🩺 Record Detail
Patient Info
Name: Unknown
Age: Unknown
Date: 2025-08-05 12:33:06
Transcript
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<tbody><tr><td id="fragmentid_1"><div><p><strong class="Doctor">Doctor</strong>: Good morning, Mrs. Sharma. It's good to see you again. How have you been feeling since our last session?</p></div></td></tr><tr><td id="fragmentid_2"><div><p><strong class="Patient">Patient</strong>: Good morning, doctor. Honestly, not great. The pain in my left hand has gotten worse. It's sharp, constant, and sometimes it feels like it's burning from the inside. And I don't know how to say this. I've started seeing things that aren't there.</p></div></td></tr><tr><td id="fragmentid_3"><div><p><strong class="Doctor">Doctor</strong>: I'm really sorry to hear that. Let's take things one at a time. About the hand pain that's likely due to nerve involvement from the cancer spreading. I'll adjust your pain medication and add a nerve pain reliever. Something like gabapentin may help ease that burning sensation.</p></div></td></tr><tr><td id="fragmentid_4"><div><p><strong class="Patient">Patient</strong>: Thank you. That pain has been unbearable at times.</p></div></td></tr><tr><td id="fragmentid_5"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> And I don't know how to say this. I've</p></div></td></tr><tr><td id="fragmentid_6"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> Doctor, I'm really sorry to</p></div></td></tr><tr><td id="fragmentid_7"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: Let's take things one at a time.</div></td></tr><tr><td id="fragmentid_8"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> About the hand pain that's likely due to nerve involvement from the cancer</p></div></td></tr><tr><td id="fragmentid_9"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> I'll adjust your pain medication and add a nerve pain</p></div></td></tr><tr><td id="fragmentid_10"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> Something like gabapentin may help ease that</p></div></td></tr></tbody>
Clinical Notes
Patient Information - Patient Name: Mrs. Sharma - Date of Birth: N/A - Date of Visit: N/A - Gender: Female - Patient ID: N/A
Subjective - Patient complains of worsening pain in her left hand, described as sharp, constant, and sometimes with a burning sensation. She also reports visual hallucinations.
Objective - N/A
Assessment - Primary Diagnosis: Likely nerve involvement from cancer spreading causing pain in the left hand. - Secondary Diagnosis: Visual hallucinations.
Plan - Adjust pain medication and add a nerve pain reliever such as gabapentin to help ease the burning sensation. - Monitor the effectiveness of the new pain management plan. - Further evaluation may be needed for visual hallucinations if they persist or worsen.