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[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "The patient was a 51-year-old female, with a past medical history significant for heavy smoking for many years and recent lipo...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 47-year-old female presented with a mass in the abdomen associated with diffuse abdominal pain, altered bowel habits, and si...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 12-year-old Cameroonian male adolescent with an uneventful past medical, family and psychosocial histories was referred to t...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "We present a 20-year-old female with athletic constitution in good health condition. She suffered trauma caused by an accident...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 41-year-old man presented to our Neurology Department with pain at the level of the right shoulder and right interscapular–v...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 46-year-old male patient presented with intermittent and non-specific headache for several weeks. Any specific neurological ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "The patient, a 67-years-old woman, who came to the first clinical consultation with a history of hypothyroidism and allergy to...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "An 86 year old Caucasian lady presented to the Emergency Department (ED) of a tertiary referral teaching hospital with sudden ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 30-year-old woman was evaluated with complaints of dysarthria, dysphagia, dizziness, nausea, vomiting, and weakness of left ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "The patient is a 75-year-old woman with a past medical history of hypertension presented to the office with a 9 × 9 cm fungati...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 20-year-old male patient presented with a 6-year history of dental pain and progressive loosening of the posterior teeth on ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 42-year-old male was brought to our emergency room with an episode of loss of consciousness for half hour. The patient had b...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 4-day-old baby girl was referred from a paediatric tertiary care hospital for the genetic evaluation of bilateral asymmetric...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 75-year-old man presented with progressive left eyelid swelling that started four weeks previously. His medical history incl...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 50-year-old woman with a diagnosis of HCC-related liver failure and hepatitis C virus (HCV) infection-related liver cirrhosi...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 41-year-old-female had complained of headache and loss of olfactory function and underwent consultation at the Department of...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 41-year-old female presented to our clinic as a new patient for excision of a previously diagnosed right heel leiomyoma. Six...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "An otherwise healthy 22-year-old caucasian woman consulted for an initial orthopedic examination due to an accelerated growth ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "The patient was a 9 year old male with a 10-day history of severe headache, vomiting, and numbness in the right arm and foot. ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 32-year-old female, gravida 0, presented to our hospital with a chief complaint of primary infertility. Her birth and peri-n...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 61-year-old African American female was diagnosed with left breast cancer with multiple bone and liver metastases in April 2...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 28-year-old female was being followed by the breast surgical team since the age of 22 for abnormal breast lesions. She had a...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 24-year-old male patient presented with a history of pain in the right knee for 2 years. He had a history of blunt injury by...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 33-year-old, gravida 2, para 1, 30-week pregnant woman was referred to our clinic with a diagnosis of an abdominal cystic ma...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 25-year-old gravida 1 para 0 woman at 35.6 weeks of pregnancy who weighed 57 kilograms was admitted to our hospital because ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "An 80-year-old male patient was referred to the abdominal surgery department due to incarcerated ventral hernia and ileus. In ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 36-year-old White male presented to the emergency department (ED) with a four-month history of left-sided chest pain with as...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 47-year-old woman in good general health, with no other co-morbidities presented with a long history of chronic right fifth ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "Mr. OG, 17-year-old young man, unmarried, student, currently unemployed, with average intelligent level, hailing from the rura...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 66-year-old male underwent a right total knee arthroplasty for end-stage tricompartmental osteoarthritis in July 2018. His i...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 10 year old white girl with severe (class 3: BMI ≥140% of the 95th percentile for age and sex) obesity and otherwise normal ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "The patient was a woman in her fifties who sustained a head injury as a result of DV by her husband. She was transported by am...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 75-year-old male presented with radicular pain in his left leg. The disabling radicular pain started 2 weeks earlier with no...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 52-year-old gentleman suffered an inversion injury to his left ankle following a tackle sustained during a football match. O...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 47-year-old male with hypertension and insulin-dependent diabetes complicated by end-stage renal disease presented with a 2-...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 32-year-old woman with history of Hashimoto's thyroiditis and migraines presented in September 2019 with complaints of eleva...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 44-year-old female presented with vaginal bleeding along with exertional chest discomfort. Vitals signs at the time of prese...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 62-year-old woman undergoing presurgical evaluation for an olfactory groove meningioma resection was incidentally found to h...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 51 year old man presented to the ED for the third time in 2 weeks with complaints of flank pain and hematuria. He had compla...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 42-year-old man was referred to the Sheffield Ataxia Centre with a history of early onset cataracts, gait instability and co...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A five-year-old male began experiencing a popping sensation followed immediately by the sensation of heat and pressure startin...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 60-year-old male presented to the emergency department with urinary retention. After a catheter was placed in the patient's ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 21-year-old previously healthy woman, a college student, was on a waterslide at an amusement park, when her left arm became ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 16-year-old female presented in a private dental clinic with a chief complaint of pain and swelling on the right maxillary s...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 69-year-old Japanese man with a history of anal fistula presented with diarrhea, intermittent fever and wasting. He did not ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 39-year-old man presented to a local dermatologist, with symptoms of multiple subcutaneous nodules over the anterior chest w...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 49-year-old man presented to the emergency department after a fall from three meters. In his initial assessment, he was hemo...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "We present the unique case of a 63-year-old gentleman who initially presented with a five-week history of headaches behind the...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 45-year-old woman with a long history of tracheal stenosis and upper airway obstruction presented for elective tracheostomy ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 28-year-old Hispanic male presented to our institution with a complaint of multiple intermittent episodes of fever that bega...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 72-year-old man with a history of anteroseptal acute myocardial infarction was admitted to our hospital with acute heart fai...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 42-year-old man experienced decreased visual acuity in the right eye before 2 years, but did not seek treatment. Later, he b...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A previously healthy, obese, 48-year-old female presented with a 1-year history of clear fluid draining from the nose and asso...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 48-year-old male was referred to our hospital due to abnormal brain MRI findings. He had undergone brain MRI for a mild head...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 32 year old woman, gravida three para one with a history of cervical incompetence, polycystic ovarian syndrome, antiphosphol...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 22-year-old woman diagnosed with CF at the age of three years entered end-stage lung disease in 2011, aged 16. She had frequ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 78-year-old female patient was referred to the Dental Clinic of the University of Padua in order to evaluate a painless swel...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 31-year-old female patient presented with cough and mild dyspnea to the outpatient department. She had a history of being di...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 59-year-old man presented to the emergency department with cloudy vision and difficulty of movement. It was learned that the...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "An eighteen-month-old boy was brought with the complaint of a gradually progressive painless mass in the left eye since 16 mon...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 58-year-old woman presented with acute inflammatory features in the right iliac fossa. An ultrasound showed a small collecti...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "The present case report is about a 51-year-old female patient reported to our department with complaints of non-resolving swel...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 63-year-old male with a history of hypertension, 20 pack-years of smoking, thyroid cancer in remission with partial thyroide...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 64-year-old woman presented with large varicose veins, CEAP C2s, in the left lower limb. The patient had never been treated ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 41-year-old Japanese male presented impairment of consciousness by wide QRS tachycardia (Fig. a). Although his systolic bloo...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 21-year-old Caucasian male was admitted to our Department with a 6-month history of a growing and pulsatile mass on the righ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 34 year old male patient, a worker in the salt mines, presented to us complaining of diminished vision in both eyes since th...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 25 year-old man was admitted to the emergency department in our hospital due to status epilepticus. He had developed epileps...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 16-month-old girl from Ankole in Western Uganda was admitted to the surgical ward of Mbarara University Teaching Hospital in...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 40-year-old Japanese female with gravidity 2 and parity 2 presented with prolonged menorrhagia and severe anemia. The patien...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 50-year-old female athlete was brought into the emergency department (ED) after a witnessed car accident. Per fiancé she was...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "An 86-year-old man was referred to our institute with groin wound lymphorrhea after repeated, unsuccessful open surgeries. He ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 17-year-old male patient reported to the Outpatient Department of Maulana Azad Institute of Dental Sciences in July 2012 wit...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 53-year-old Hispanic man with past medical history significant for coronary artery disease, habitual intravenous heroin abus...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 78-year-old Caucasian woman was admitted to our hospital presenting with a painful mass in her right groin, without fever, r...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "We present the case of a 28 year-old lady with a history of intravenous drug use who presented to our institution with symptom...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "An 8-month-old male toddler from Cameroun presented at our outpatient clinic. A German human aid organization (Afrika-Projekte...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 12-year-old, 161 cm, 32 kg, female patient with idiopathic scoliosis in the thoracic vertebra presented for posterior fusion...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 27-year-old male came with complaints of the right elbow pain and stiffness for 3 years. The patient was apparently normal 3...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A healthy 42-year-old man was found to have an abnormal chest shadow during an annual medical examination and was referred to ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 34-year-old Indian male presented to the department of Oral Medicine and Radiology NIMS Dental College Jaipur (India) with a...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "This is a healthy 53-year-old male with an unremarkable medical or surgical history, who has a 6-month history of progressive ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "The patient has given consent for the clinical details of the case to be published in a medical journal.\nA 32-year-old male w...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 19-year-old woman admitted to our emergency department immediately after she sustained an ankle sprain. On presentation she ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "The patient was a 21-year-old female with past history of stage 3 ACT diagnosed at 4.9 years. Her development was normal excep...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 64-year-old male had been complaining of intermittent hemoptysis several times per day for eight months. He had no fever, ch...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 43-year-old man presented with lower back pain that radiated laterally to his right thigh that had persisted for 3 months. D...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 17-year-old boy was admitted to our hospital with left ventricular hypertrophy. Our patient was born from non-consanguineous...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 52-year-old female patient was admitted in the Intensive Care Unit (ICU) following an episode of exacerbation of chronic obs...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 28-year-old white male presented in our office with knee problems after he hit a gym wall with his right knee during sports....
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 21-year-old male presented with diffuse lesions over his left upper limb involving the full circumference of his arm extendi...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A-30-year old man presented with a slow growing painless swelling involving both jaws, over a period of 2 years. He stated tha...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 25-year-old female presented to the emergency department (ED) for evaluation of persistent productive cough of yellowish spu...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "An 11-year-old male Rwandan, a known patient of multiple hereditary exostoses (MHE), presented to our hospital with a 6-month ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "The patient was a 12-year-old boy who was referred for psychiatric evaluation as his mother was concerned with his complaints ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 21-year-old woman presented to the surgery outpatient department (OPD) with clinical history of right upper abdominal lump f...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "The patient was a 37-year-old woman (G3, P2), and written informed consent for publication was obtained. She has been taking o...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 75-year-old woman with a history of coronary artery disease (status post- coronary artery bypass graft seven years ago) and ...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "A 76-year-old man was admitted to our hospital with the complaint of acute pain in the left lower limb and a pale foot. His me...
[ { "role": "system", "content": "You are a clinical documentation specialist. Summarize the clinical note into a structured SOAP format." }, { "role": "user", "content": "Miss. SM, a 9-year-old girl presented with a 2-month history of continuous coughing and irritable mood that has increased in f...