Datasets:

Tippawan

/

hc67

like 0

[ "•", "Pulmonary", "hypertension", "at", "ward", " ", "หอบ", "เหนื่อย", "ลดลง", "SpO2", "RA", "88-90%", "plan", "balanced", "I/O", "consult", "cardio", "for", "echo", ":", "unofficial", "TTE", "30/6/63", "large", "ASD", "with", "severe", "pulmonary", "hypertension", "with", "elsenmeger", "syndrome", "plan", "repeat", "echo", "for", "ประเมิน", "shunt" ]

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[ "•", "Atrial", "Flutter", ":", "หลัง", "ทำ", "TEE", "30/6/63", "มีปัญหา", "เรื่อง", "ตรวจ", "พบ", "HR", "120-140", "EKG", "12", "leads", "Aflutter", "with", "RVR", "rate", "120-140", "V/S", "stable", "ไม่", "มี", "อาการ", "หอบ", "เหนื่อย", "หรือ", "แน่นหน้าอก", "plan", "add", "atenolol[50]", "1/2*1", "for", "rate", "control" ]

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[ "•", "gross", "hematuria", "admit", "d2", "มีปัญหา", "เรื่อง", "gross", "hematuria", "UA", "RBC", "20-30", "WBC", "10-20", "albumin", "2+", "no", "cast", "USG", "KUB", "no", "stone", "no", "hydronephrosis", "coagulation", "normal", "consult", "uro", "suggest", "from", "foley", "cath", "initiation", "plan", "off", "foley", "cath", "follow", "up", "OPD", "2", "wk" ]

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[ "Hospital", "course" ]

[ 0, 0 ]

[ "1.", "MSSA", "CRBSI", "from", "tunnel", "site", "infection" ]

[ 0, 1, 2, 0, 1, 2, 2 ]

[ "-off", "Rt", "perm", "catheter", "(29/6)" ]

[ 0, 1, 2, 2, 0 ]

[ "-", "แร", "กรับ", "ให้", "vanco", "+", "mero", "หลัง", "iden", "gram", "positive", "in", "HC", "จึง", "continue", "only", "Vanco" ]

[ 0, 0, 0, 0, 1, 0, 1, 0, 0, 1, 2, 2, 2, 0, 0, 0, 1 ]

[ "-", "Reinsert", "Lt", "DLC", "30/6", "->", "แต่", "ผู้ป่วย", "ดึง", "ออก", "เอง", "4/7", "->", "ได้", "reinsert", "DLC", "at", "rt", "femoral", "vein", "เมื่อ", "วันที่", "7/7" ]

[ 0, 1, 2, 2, 0, 0, 0, 0, 1, 2, 2, 0, 0, 0, 1, 2, 0, 1, 2, 2, 0, 0, 0 ]

[ "-", "HC", "at", "72", "hr", "(2/7)", ":", "persistent", "MSSA", "จึง", "เปลี่ยน", "vanco", "เป็น", "cefazolin", "2", "gm", "IV", "OD", "เนื่องจาก", "MIC", "ดีกว่า" ]

[ 0, 1, 0, 0, 0, 0, 0, 1, 2, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 0, 0 ]

[ "-", "และ", "consult", "cardio", "Echo", "for", "r/o", "IE", ">>>", "Echo(10/7)", ":", "LVEF", "72%,", "no", "evidence", "of", "endocarditis", "seen" ]

[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]

[ "-", "HC", "at", "5/7", ":", "NG" ]

[ 0, 1, 0, 0, 0, 0 ]

[ "จึง", "plan", "continue", "ATB", "4", "week", ",", "นับ", "จาก", "5/7/63" ]

[ 0, 0, 0, 1, 0, 0, 0, 0, 0, 0 ]

[ "โดย", "เปลี่ยน", "กลับ", "จาก", "cefazolin", "เป็น", "Vancomycin", "1", "gm", "IV", "หลัง", "HD", "ตั้งแต่", "18/7" ]

[ 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 1, 0, 0 ]

[ "ผู้ป่วย", "กลับ", "ไป", "ทำ", "HD", "ทุก", "วันอาทิตย์", "พุธ", "ศุกร์", "ดังเดิม" ]

[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 0 ]

[ "2.", "Pseudocolonic", "Obstruction" ]

[ 0, 1, 2 ]

[ "-6/7", "ท้องอืด", "มาก", "ไม่", "ถ่าย", "มา", "ตลอด", "สี่", "วันก่อน", "film", "AAS", ":", "Generalized", "Large", "bowel", "and", "small", "bowel", "dilatation", "With", "air", "in", "rectum" ]

[ 0, 1, 0, 1, 2, 0, 0, 0, 0, 0, 1, 0, 1, 2, 2, 2, 2, 2, 2, 0, 0, 0, 0 ]

[ ">Consult", "Acute", "Care", "เรื่อง", "R/o", "gut", "obstruction", "-", "ได้", "CT", "WA", ":", "Pseudocolonic", "Obstruction", ">", "จึง", "on", "NG", "decompress", "+", "Rectum", "tube", "+", "NPO", "เว้น", "ยา" ]

[ 0, 0, 0, 0, 0, 1, 2, 0, 0, 1, 2, 0, 1, 2, 0, 0, 0, 1, 2, 0, 1, 2, 0, 1, 0, 0 ]

[ ">Consult", "GI", "Med", "ร่วม", "ประเมิน", "การ", "ให้ยา", "Neostigmine", "แต่", "ผู้ป่วย", "มี", "contraindication", "การ", "ใช้", "ยา", "นี้", ",", "จึง", "advice", "ให้", "prokinetic", "และ", "correct", "electrolyte", ",", "off", "ยา", "ที่", "มี", "antimuscarinic", "effect", ",", "และ", "W/U", "Colonic", "infection", "(Stool", "Exam/Culture/C.diff", ":", "neg", "all)" ]

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[ ">F/U", "Film", "AAS", "OD", "ท้อง", "ยุบ", "บวม", "ลง", "ค่อยๆ", "step", "feed", "ได้", "ตั้งแต่", "14/7/63", "-", ">", "จนได้", "full", "feed", "17/7/63", "และ", "ถ่าย", "ได้", "ทุกวัน" ]

[ 0, 0, 1, 0, 1, 2, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0 ]

[ "3.", "Volume", "Overload" ]

[ 0, 1, 2 ]

[ "-", "ช่วง", "ที่", "NPO", "จาก", "Pseudocolonic", "obstruction", "ได้", "ให้", "เป็น", "B", "fluid", "+", "OMVI", "->", "I/O", "positive", "ประมาณ", "วัน", "ละ", "1000", "mL" ]

[ 0, 0, 0, 1, 0, 1, 2, 0, 0, 0, 1, 2, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "ผู้ป่วย", "เหนื่อย", "มากขึ้น", "Crepitation", "BL", "มี", "pink", "frothy", "sputum", "จึง", "notify", "Nephro", "เพิ่ม", "UF", "เป็น", "2000-3000", ">>", "เหนื่อย", "ลดลง", "เสมหะ", "ลดลง" ]

[ 0, 1, 2, 1, 2, 0, 1, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "4.Both", "internal", "Jugular", "vein", "thrombosis" ]

[ 0, 1, 2, 2, 2 ]

[ "-16/7", "ทาง", "nephro", "plan", "on", "premier", "cath", "at", "IJV", "แต่", "US", "no", "flow", "สงสัย", ">", "thrombosis", "จึง", "consult", "VasSx" ]

[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0 ]

[ "-VasSx", "ได้", "ทำ", "perm", "cath", "at", "rt", "CFV", "21/7", "-", "no", "complication" ]

[ 0, 0, 0, 1, 2, 0, 1, 2, 0, 0, 0, 1 ]

[ "และ", "suggest", "ส่ง", "CTV", "upper", "chest", ":", "thrombosis", "both", "IJV" ]

[ 0, 0, 0, 1, 2, 2, 0, 1, 2, 2 ]

[ "จึง", "start", "Heparin", "+", "warfarin", "3", "gm", "OD", "(23/7/63)" ]

[ 0, 0, 1, 0, 1, 0, 0, 0, 0 ]

[ "INR", "(26/7/63)", "=", "4.8", "->", "ให้", "hold", "warfarin", "1", "day", "then", "reduce", "to", "1.5", "gm", "tab", "OD", "->", "นัด", "มา", "ปรับ", "ยา", "OPD", "Case" ]

[ 1, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "5.", "Anemia", "from", "SRMD" ]

[ 0, 1, 0, 1 ]

[ "ช่วง", "ที่", "NPO", "มี", "Hb", "9", "->7.8", ",", "NG", "content", "มี", "coffee", "ground", "เล็กน้อย", "คิดถึง", "จาก", "SRMD", "จึง", "ได้", "ให้", "IV", "omeprazole" ]

[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 1, 0, 0, 0, 1, 2 ]

[ "ได้", "intraHD", "PRC", "2", "unit", "->", "clinical", "improve", "อาการ", "SRMD", "หาย", "เอง", "หลัง", "เริ่ม", "กิน", "เอง", "ได้" ]

[ 0, 0, 1, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0 ]

[ "ไม่", "มี", "ถ่าย", "ดำ" ]

[ 1, 2, 2, 2 ]

[ "6.", "Post", "Liver", "Transplant" ]

[ 0, 1, 2, 2 ]

[ "-", "ช่วง", "admit", "consult", "hepatoSx", "เรื่อง", "ปรับ", "ยา", "Tacrolimus", ">", "ยา", "ได้", "level", "ดี", "ไม่", "ได้", "ปรับ", "Dose" ]

[ 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "1.", "UTI" ]

[ 0, 1 ]

[ "UA", ":", "WBC", "100-200", "RBC", "20-30;", "U/C:", "contaminated", ",", "H/C", "x", "2:", "no", "growth" ]

[ 1, 0, 0, 0, 0, 0, 1, 2, 0, 1, 0, 0, 0, 0 ]

[ "Rx:", "norepinephrine", "(4:250)", "IV", "drip" ]

[ 0, 1, 0, 0, 0 ]

[ "ATB", ":", "Ceftriaxone", "IV", "(29/6/63", "-", "4/7/63);", "Amplicillin", "2", "gm", "IV", "q", "6h", "(29/6/63", "-", "4/7/63)" ]

[ 1, 0, 1, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "-", "4/7/63", "มี", "subtemp", "มี", "ปัสสาวะ", "เป็น", "เลือด", "มากขึ้น", "ร่วมกับ", "มี", "BP", "drop" ]

[ 0, 0, 0, 1, 0, 1, 2, 2, 0, 0, 0, 1, 2 ]

[ "UA", ":", "WBC", "30-50,", "RBC", "50-100,", "Hct", "28%", "(", "จาก", "31%)" ]

[ 1, 0, 0, 0, 0, 0, 1, 2, 2, 0, 0 ]

[ "Rx:", "-", "IVF", "resuscitation", "+", "LPB", "transfusion" ]

[ 0, 0, 1, 2, 0, 1, 2 ]

[ "-", "step", "ATB", "as", "tazocin", "IV", "(4/7/63", "-", "9/7/63)" ]

[ 0, 0, 1, 0, 1, 0, 0, 0, 0 ]

[ "2.", "CA", "bladder" ]

[ 0, 1, 2 ]

[ "advice", "ญาติ", "ลูกสาว", "เข้าใจ", "พยากรณ์", "โรค", "ปฏิเสธ", " ", "CPR", "/ETT", "accept", "pain", "control", "and", "sedation" ]

[ 0, 0, 0, 0, 0, 0, 1, 2, 2, 2, 0, 1, 2, 0, 1 ]

[ "Rx:", "Morphine", "syr", "4", "mg", "po", "q", "4", "h" ]

[ 0, 1, 0, 0, 0, 0, 0, 0, 0 ]

[ "Death", "at", "11/7/63", "18.50", "น." ]

[ 1, 0, 0, 0, 0 ]

[ "Disseminated", "NTM", "infection", "with", "Conjunctival", "mass", "both", "eyes", "(infectious", "process)" ]

[ 1, 2, 2, 0, 1, 2, 2, 2, 0, 0 ]

[ "-", "เดิม", "มี", "Hx", "of", "NTM", "infection", "->", "M.abscessus", "lymphadenitis", "ขณะนี้", "on", "levofloxacin", "+", "azithromycin" ]

[ 0, 0, 0, 0, 0, 1, 2, 0, 1, 2, 0, 0, 1, 0, 1 ]

[ "-", "ครั้งนี้", "มา", "presented", "ด้วย", "Rt", "inguinal", "lymphadenitis", "คิดถึง", "infection", "จาก", "เชื้อ", "M.abscessus" ]

[ 0, 0, 0, 0, 0, 1, 2, 2, 0, 0, 0, 0, 1 ]

[ "-", "จึง", "Empirical", "ATB", "เป็น", "Imipenem", "+", "amikacin", "+", "levofloxacin", "oral", "+", "azithromycin", "oral" ]

[ 0, 0, 1, 2, 0, 1, 0, 1, 0, 1, 0, 0, 1, 0 ]

[ "-", "Right", "inguinal", "lymph", "node", "excision", "3/7/63" ]

[ 0, 0, 1, 2, 2, 2, 0 ]

[ "Patho", ":", "Reactive", "change", ",", "negative", "for", "tumor", "and", "granuloma" ]

[ 1, 0, 1, 2, 0, 1, 2, 2, 0, 1 ]

[ "Special", "stains", "are", "n", "egative", "for", "bacteria", ",", "acid", "fast", "bacilli", ",", "spirochetes", ",", "and", "fungi" ]

[ 0, 0, 0, 0, 1, 2, 2, 0, 1, 2, 2, 0, 1, 0, 0, 1 ]

[ "KOH", "no", "fungal", "seen", ",", "fungal", "culture", "no", "growth" ]

[ 1, 1, 2, 2, 0, 1, 2, 0, 0 ]

[ "Mycobacterium", "profile", "II", ":", "no", "AFB", "observed,", "PCR", "nrgative", ",", "culture", "-", "pending" ]

[ 0, 0, 0, 0, 1, 2, 0, 1, 2, 0, 0, 0, 0 ]

[ "-", "เรื่อง", "ตาแดง", "consult", "eye", "->", "Conjunctival", "mass", "คิดถึง", "จาก", "infectious", "process", "มาก", "ที่สุด", "plan", "mass", "biopsy", "->", "แต่", "ก้อน", "ยุบ", "ลง", "ดี", " ", "ตาแดง", "ลดลง", "หลัง", "ได้", "Imipenem", "+", "Amikacin" ]

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[ "-", "ได้", "Imipenem", "+", "amikacin", "+", "levofloxacin", "oral", "+", "azithromycin", "oral", "x", "3", "weeks", "จากนั้น", "continue", "Moxifloxacin", "oral", "(off", "Levofloxacin", ")", "+", "azithromycin", "oral" ]

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[ "-", "ไม่", "มีไข้", "ต่อมน้ำเหลือง", "ที่", "ขาหนีบ", "ยุ", "บด", "ี", "ตาแดง", "ลดลง" ]

[ 0, 1, 2, 1, 2, 2, 2, 2, 0, 1, 2 ]

[ "*", "ใน", "visit", "นี้", "consult", "ENT", "ประเมิน", "ototoxic", "จาก", "amikacin", "เนื่องจาก", "มีโอกาส", "ต้อง", "ใช้", "amikacin", "->", "Rt", "mild", "SNHL" ]

[ 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 1, 0, 1, 2, 2 ]

[ "show", "poor", "function", "ของ", "hair", "cell", "ที่", "มากกว่า", "8", "kHz", "ทั้ง", "2", "ข้าง", "และ", "poor", "function", "ที่", "low", "tone", "ด้าน", "ขวา" ]

[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "Imp:", "UTI", "with", "Abaum", "septicemia" ]

[ 0, 1, 0, 1, 2 ]

[ "Hospital", "course" ]

[ 0, 0 ]

[ "•", "UTI", "with", "Abaum", "septicemia", ":", "Empirical", "ATB", "PIP", "TAZ", "4.5", "g", "IV", "q", "6", "hr", "28/6/63-1/7/63", "escalate", "to", "Colistin", "150", "mg", "Iv", "q", "12", "hr", "plan", "14", "days", "ไข้", "ลง", "ดี", "H/C", "ซ้ำ", "[1/7/63]", "no", "growth" ]

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[ "•", "Gross", "hematuria", "29/6/63", "plan", "consult", "UroSx", "-->", "USG", "KUB", "mild", "bilateral", "renal", "parenchyma", ",", "CT", "urography", ":", "BPH", "with", "diffuse", "enhancement", "of", "Lt", "peripheral", "zone" ]

[ 0, 1, 2, 0, 0, 0, 0, 0, 1, 2, 1, 2, 2, 2, 0, 1, 2, 0, 1, 0, 0, 0, 0, 0, 0, 0 ]

[ "then", "on", "CBI", "4-5", "days", "ปัสสาวะ", "ใส", " ", "uro", "plan", "F/U", "OPD", "case" ]

[ 0, 0, 1, 0, 0, 1, 2, 2, 0, 0, 0, 0, 0 ]

[ "•", "Colistin", "induced", "tubular", "dysfunction", ":", "หลัง", "ให้", "colistin", "days", "13", "มีปัญหา", "เรื่อง", "poluria", "work", "up", ":", "solute", "diuresis", "plan", "replace", "0.6-1", "เท่า", "ของ", "urine", "try", "ลด", "IVF", "ปริมาณ", "urine", "ลดลง", "ดี", "ไม่", "มี", " ", "AKI", ",", "Electrolyte", "imbalance", "off", "IVF", "ได้", "plan", "F/U", "nephro" ]

[ 0, 1, 2, 2, 2, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 2, 0, 1, 2, 0, 0, 0, 0, 0, 0 ]

[ "1.", "UTI", "with", "sepsis" ]

[ 0, 1, 0, 1 ]

[ "UA", "WBC", "10-20", "leukocyte", "3+", "UC", "NG", "on", "Levofloxacin", "start", "29/6/63", "x", "7", "days", "ไข้", "ลดลง" ]

[ 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 1, 2 ]

[ "F/U", "UA", "WBC", "5-10", "leukocyte", "negative" ]

[ 0, 1, 0, 0, 0, 0 ]

[ "2.", "Hyponatremia", "125" ]

[ 0, 1, 0 ]

[ "3.", "Hypophosphatemia", "P", "1.8" ]

[ 0, 1, 0, 0 ]

[ "4.", "Hypokalemia", "3.1" ]

[ 0, 1, 0 ]

[ "5.", "Pressure", "sore", "grade", "4", "at", "coccyx" ]

[ 0, 1, 2, 2, 2, 0, 1 ]

[ "6.U/D", "HT", ",", "bed", "ridden", "dueto", "traumatic", "ICH", ",", "old", "hemorrhagic", "stroke", "Epilepsy" ]

[ 0, 1, 0, 1, 2, 0, 1, 2, 0, 1, 2, 2, 1 ]

[ "•", "Drud", "induced", "cholestatis", "Jx", "คิดถึง", "จาก", "MMI", "ได้", "Off", "MMI", "+", "PTU", "รักษา", "อาการ", "jaundice", "ด้วย", "Ursolin", "+", "cholestylamine", "แนวโน้ม", "อาการ", "เหลือง", "ลดลง", "TB/DB(29/6/63)", "20.4/18.29", "->", "TB/DB(2/7/63)", "18.06/16.02" ]

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[ "•", "Hyperthyroidism", "หลังจาก", "off", "MMI", "+", "PTU", "ได้", "start", "Lithium", "(300)", "1*2", "oral", "pc", "=>", "F/U", "Lithium", "level", "0.367" ]

[ 0, 1, 0, 0, 1, 0, 1, 0, 0, 1, 0, 0, 0, 0, 0, 0, 1, 0, 0 ]

[ "•", "Infected", "bronchiectasis", "from", "Pseudomonas", "aeruginosa" ]

[ 0, 1, 2, 0, 1, 2 ]

[ "มา", "ด้วย", "มี", "ไข", "้", "ไอ", "เสมหะ", "ปน", "เลือด" ]

[ 0, 0, 1, 2, 0, 1, 2, 2, 2 ]

[ "ผล", "Sputum", "culture", ":", "Pseudomonas", "aeruginosa", "(MDR)", "sense", "Meropenem", "แรก", "รับได้", "Ceftriaxone", "จากนั้น", "ปรับ", "เป็น", "Piperacillin/Tazobactam", "เนื่องจาก", "ต้องการ", "cover" ]

[ 0, 1, 2, 0, 1, 2, 2, 0, 1, 0, 0, 1, 0, 0, 0, 1, 0, 0, 0 ]

[ "Pseudomonas", "aeruginosa", "แต่", "ผล", "sense", "->", "resist", "Piperacillin/Tazobactam", "จึง", "ปรับ", "เป็น", "Meropenem", "ตาม", "sense", "14", "days", "->", "clinical", "improve" ]

[ 1, 2, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0 ]

[ "เนื่องจาก", "ผู้ป่วย", "ควร", "ได้รับ", "long", "term", "antiobiotic", "treatment", "ด้วย", "inhaled", "antibiotic", "ด้วย", "colistin", "+", "amikacin", "แต่", "มี", "financial", "problem", "ค่า", "เครื่อง", "พ่น", "ยา" ]

[ 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 1, 0, 1, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "จึง", "ให้", "เป็น", "oral", "azithromycin", "750", "mg/wk", "ตามเดิม" ]

[ 0, 0, 0, 0, 1, 0, 0, 0 ]

[ "•", "Drug", "eruption", "suspected", "from", "ceftriaxone" ]

[ 0, 1, 2, 0, 0, 1 ]

[ "หลัง", "ได้", "ยา", "3", "วัน", "มี", "generalized", "MP", "rash", "+", "eosinophilia", "คิดถึง", "minor", "drug", "reaction", "จาก", "ceftriaxone", "->", "supportive", "treatment", "clinical", "improve" ]

[ 0, 0, 0, 0, 0, 0, 1, 2, 2, 0, 1, 0, 1, 2, 2, 0, 1, 0, 0, 0, 0, 0 ]

[ "•", "Bronchial", "artery", "aneurysm", "with", "non-massive", "hemoptysis" ]

[ 0, 1, 2, 2, 0, 1, 2 ]

[ "มี", "clinical", "non-massive", "hemoptysis", "ผล", "CTPA", "chest", "15/4/63", "suspected", "bronchial", "artery", "aneurysm" ]

[ 0, 0, 1, 2, 0, 1, 2, 0, 0, 1, 2, 2 ]

[ "S/P", "Bronchial", "artery", "angiograohy", "and", "embolization", "25/6/63", "no", "complication" ]

[ 0, 1, 2, 2, 0, 1, 0, 0, 1 ]

[ "1.", "Aspiration", "Pneumonia", "เดิม", "ผู้ป่วย", "อยู่", "ศูนย์", "ดูแล", "กิน", "เอง", "ทาง", "ปาก", "ญาติ", "ไม่", "ทราบ", "ประวัติ", "เรื่อง", "สูด", "สำลัก", "ชัดเจน", "แต่", "เนื่อง", "status", "ของ", "ผู้ป่วย", "ประเมิน", "แล้ว", "น่าจะ", "เกิด", "aspiration", "ได้", "ง่าย", "จึง", "ให้", "Ceftriaxone", "2g", "IV", "OD+", "Clindamycin", "600mg", "IV", "q8hr", "(29/06/63-6/07/63)", "ไข้", "แนวโน้ม", "ลดลง", "ชัดเจน", "และ", "on", "NG", "feeding" ]

[ 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0, 0, 0, 0, 1, 2, 2, 0, 0, 0, 0, 0 ]

[ "2.", "Lt.lung", "opecity", "ผล", "อ่าน", "official", ":", "A", "pleural", "based", "lesion", "at", "left", "lower", "thorax", "as", "described,", "suspected", "for", "organizing", "hemomatoma", "or", "organizing", "inflammatory", "tissue", "(", "chronic", "empeyma", ")", "ทาง", "chest", "คิด", "ว่า", "เรื่อง", "empyema", "เป็น", "ของเก่า", "ไม่", "น่าจะ", "active", "ไม่", "จำเป็นต้อง", "drain", "หรือ", "ทำ", "intervention", "เพิ่มเติม", "พิจารณา", "ติดตาม", "imaging", "เป็นระยะ" ]

[ 0, 1, 2, 0, 0, 0, 0, 0, 1, 2, 2, 0, 1, 2, 2, 0, 0, 0, 0, 1, 2, 0, 1, 2, 2, 0, 1, 2, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "3.", "Hypovolemic", "hyponatremia" ]

[ 0, 1, 2 ]

[ "3.", "malnutrition", "on", "NG", "feed", "BD", "(1:1)", "300ml", "*", "4feed", "+", "น้ำ", "ตาม", "50", "ml", "+", "น้ำ", "ระหว่าง", "มื้อ", "50", "ml", "หลัง", "feed", "ให้", "นั่ง", "หัวสูง", "90", "องศา", "นาน", "1-2", "ชม." ]

[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "4.", "Dilantin", "overdose", "หลังจาก", "ผู้ป่วย", "มี", "อา", "การชัก", "ที่", "แพทย์", "เวร", "เนื่องจาก", "ขาด", "ยา", "ขณะ", "นอน", "รพ.", "จึง", "load", "dilantin", "ติดตาม", "ผล", "พบ", "ว่า", "มี", "dilantin", "overdose", "จึง", "ปรับ", "ลด", "ยา", "ลง", "เป็น", "250mg/day" ]

[ 0, 1, 2, 0, 0, 0, 1, 2, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0 ]

[ "1.", "Euvulumic", "Hyponatremia", "คิดถึง", "จาก", "poly", "dyspsia", "เนื่องจาก", "ผู้ป่วย", "มีประวัติ", "ดื่ม", "น้ำ", "วัน", "ละ", "4-", "5", "L" ]

[ 0, 1, 2, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "Tx.", "restrict", "fluid", "F/U", "LAB", "4/7/63", "NA", "133" ]

[ 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "urine", "ออก", "ดี", "W/O", "หา", "cause", "อื่นๆ", "ไม่", "เจอ", "เรื่อง", "ของ", "adenal", "gland", "insufficiecy", "(morning", "cortisal", "17.6", "Drive", "21.1)" ]

[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 0, 0, 0, 0, 0 ]

[ "2.low", "salt", "diet", "ผู้ป่วย", "รับประทาน", "อาหาร", "จืด", "ไม่", "ใส่", "เกลือ" ]

[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "Tx.", "NAcl", "1*3", "oral", "pc" ]

[ 0, 1, 0, 0, 0 ]

[ "3.", "Pituitary", "macroadenoma", "with", "acromegaly" ]

[ 0, 1, 2, 0, 1 ]

[ "Dx", "เมื่อ", "9/56", "present", "with", "อาการ", "คัดจมูก", "มี", "ใบหน้า", "และ", "มือ", "เท้า", "ใหญ่", "มากขึ้น", "ประจำเดือน", "ไม่", "สม่ำเสมอ" ]

[ 0, 0, 0, 0, 0, 1, 2, 0, 1, 2, 2, 2, 2, 2, 1, 2, 2 ]

[ "ทำ", "CT", "paranasal", "sinus", "พบ", "mass", "at", "suprasellar", "area", "2.3", "x", "2.7", "cm", "PE:", "acromegaly", "feature", "with", "bitemporal", "hemianopia" ]

[ 0, 1, 2, 2, 0, 1, 2, 2, 2, 0, 0, 0, 0, 0, 1, 2, 0, 1, 2 ]