Note

Machine-generated draft from a research prototype. Not for clinical use. Green means the clause's words were found in the transcript, not that the clause is correct.

■ words found in transcript ■ contradicts transcript ■ not found in transcript ■ unclear
Hover a clause for its evidence turn.

CHIEF COMPLAINT

Right knee pain following twisting injury.

HISTORY OF PRESENT ILLNESS

A 24-year-old male presents with right knee pain following a twisting injury during football 2 weeks ago. Patient reports swelling. Denies locking. Denies numbness.

PAST MEDICAL HISTORY

Right knee injury.

ALLERGIES

Penicillin.

PHYSICAL EXAM

Right knee shows swelling and instability. Denies joint locking. Denies neurological symptoms.

ASSESSMENT

Right knee sprain.

PLAN

Ibuprofen 400mg BID. Follow-up in 2 weeks.

Transcript

1. doctor: Hi, what brings you in today?
2. patient: My right knee has been hurting since I twisted it playing football two weeks ago.
3. doctor: Has your knee locked or given way?
4. patient: No, it doesn't lock. It just swells up after I walk a lot.
5. doctor: Any numbness or tingling in the leg?
6. patient: No.
7. doctor: Are you taking anything for the pain?
8. patient: Ibuprofen, 400 milligrams, twice a day.
9. doctor: Any allergies to medications?
10. patient: Penicillin, it gives me a rash.
11. doctor: On exam there is mild swelling over the right knee, no instability, full range of motion.
12. doctor: This looks like a knee sprain. Rest, ice, and a knee brace, and come back in two weeks if it is not better.