Presenting complaints:
Abdominal pain, bloating, and changes in bowel habits.
Past medical history:
Type 2 diabetes mellitus, diagnosed in 2018. Hypertension, managed with medication.
Drug history:
Metformin 1000mg twice daily.
Lisinopril 20mg once daily.
Allergies:
No known drug allergies.
Family history:
Mother with a history of colon cancer.
Social history:
Patient is a non-smoker. Drinks alcohol occasionally. Works as an accountant. Lives with their spouse.
Presenting complaints:
[Presenting complaint(s)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Past medical history:
[Relevant past medical history] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Past surgical history:
[Relevant past surgical history] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Drug history:
[Current and previous medications, including name, dose, and frequency] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Allergies:
[Allergies and nature of reactions] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Family history:
[Relevant family medical history] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Social history:
[Relevant social history, including occupation, lifestyle, substance use, and living situation] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
(For each section, only include if explicitly mentioned in the transcript or context, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)