Datasets:

Tippawan

/

imb

like 0

[ "1", "เดือนก่อน", "มา", "รพ.", "ไป", "ตรวจ", "ที่", "รพ.", "เอกชน", "พบ", "Anemia", "มากขึ้น", ",", "Hct", "26%", "->", "นัด", "EGD", "+", "Colono", "work", "up", "เรื่อง", "anemia" ]

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

[ "Colono", "findings", "(1/6/63)", ":", "Internal", "and", "external", "hemorrhoids" ]

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

[ "Patho", ":", "Poorly", "differentiated", "adenocarcinoma", "with", "signet", "ring", "cell", "features", "associated", "with", "H.pylori", "infection" ]

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

[ "CT", "whole", "abdomen", "(5/6/63)" ]

[ 1, 2, 2, 0 ]

[ "•", "Bony", "sclerosis", "at", "T12-L1", ",", "L3-L4", "vertebral", "bodies", "and", "sacrum" ]

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

[ "3", "สัปดาห์", "ก่อน", "มา", "รพ.", "นำ", "ผล", "ตรวจ", "มา", "รับ", "การรักษา", "ต่อ", "ที่", "รพ.", "ศูนย์", "ส่องกล้อง", "(Sx)", "->", "นัด", "มา", "repeat", "EGD", "19/6/63" ]

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

[ "EGD", "findings", "(18/6/63)", ":", "Ulceroinfiltrative", "mass", "(", "Borrmann", "type", "3", ")", "at", "lesser", "curvature", ",", "hemicircumferential", "from", "Z-line", "to", "lower", "body", "of", "stomach", ",", "circumferential", "at", "antrum", "caused", "lumen", "narrowing", ",", "but", "sparing", "lower", "part", "of", "antrum", "and", "pylorus", "." ]

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

[ "Staging", ":", "cT3N4M1,", "ทาง", "Sx", "consult", "OncoMed", "for", "palliative", "CMT" ]

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

[ "Stutun", "culture", "ของ", "admission", " ", "ก่อน", "==>", "Nocardia", "spp." ]

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

[ "ส่ง", "drug", "sensitivity", "==>", "sense", "Bactrim", ",", "Augmentin", ",", "Levofloxacin" ]

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

[ "1.", "Suspected", "CA", "HOP", "with", "CBD", "obstruction", "S/P", "ERCP", "with", "plastic", "stents" ]

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

[ "Present", "with", "progressive", "jaundice", "since", "9/62" ]

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

[ "U/S", "(9/62)", "suspected", "1.1", "cm", "distal", "CBDstone", "causing", "dilatation", "CBD", "and", "IHD", ",", "distended", "GB", "with", "bile", "sludge", "and", "multiple", "GS" ]

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

[ "ERCP", "(1/10/62)", ":", "periampullary", "duodenal", "diverticulum", ",", "bulging", "of", "duodenal", "mucosa", "below", "ampulla", "suupected", "external", "compression" ]

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

[ "CTWA", "(2/10/62)", ":", "supected", "mass", "of", "pancreatic", "head", "with", "bile", "duct", "obstruction", "จากนั้น", "ส่งตัว", "มา", "ที่", "รพ." ]

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

[ "ERCP", "(17/10/62):", "Suspected", "malignent", "CBD", "stricture", "s/p", "Blush", "cytology", "and", "plastic", "stent", "10Fr", "x", "7", "cm", "SS", "at", "distal", "CBD", "," ]

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

[ "Gallstone", ",", "Juxta-ampullary", "diverticula" ]

[ 1, 0, 1, 2 ]

[ "ผล", "brush", "cyto", ":", "atypical", "cell", "present" ]

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

[ "จากนั้น", "ผู้ป่วย", "ไป", "รักษา", "ต่อ", "ที่", "รพ.", "มีปัญหา", "acute", "cholangitis", "หลายครั้ง", "S/P", "ERCP", "with", "exchange", "stents", "2", "รอบ", "(1/63", "and", "4/63)" ]

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

[ "1", "สัปดาห์", "ก่อน", "มา", "เริ่ม", "มี", "อาการ", "ตัว", "ตาเหลือง", "มากขึ้น", "ปวด", "จุก", "ท้อง", "พอ", "ๆ", "เดิม", "ไม่", "มีไข้", "ยัง", "พอ", "กิน", "ได้", "ได้", "ไป", "รับ", "การรักษา", "ที่", "รพ." ]

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

[ "ไม่", "สามารถ", "pass", "wire", "ได้", "จึง", "ส่งตัว", "มา", "รพ.", "เพื่อ", "ERCP", "with", "SEM" ]

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

[ "dx", "acute", "cholangitis", "with", "septic", "shock", "with", "septic", "encephalopathy", "from", "CA", "head", "of", "pancrease", "หลัง", " ", "admit", "มี", "ฺ", "BP", " ", "drop", "load", "ไป", "1000", "ml", ">>", "BP", "stable", "จึง", "ย้าย", "มา" ]

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

[ "u/s", "KUB", "3/7/63", "Chronic", "renal", "parenchymal", "disease", "of", "left", "kidney", "with", "relatively", "prominent", "left", "pelvocalyceal", "system", "without", "demonstrable", "cause", "of", "obstruction" ]

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

[ "-", "No", "evidence", "of", "hydronephrosis", "of", "right", "kidney" ]

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

[ "หญิง", "58", "ปี", "Known", "case", "severe", "rheumatic", "MS", "s/p", "PTMC", "10", "ปีก่อน", "พบ", "stenosis", "จึง", "ทำ", "MVR", "with", "TV", "repair", "ปี", "2558", "ปัจจุบัน", "รักษา", "รพ.", "on", "Warfarin" ]

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

[ "BADL", ",", "IADL", "พอ", "ทำได้", "อุ่น", "อาหาร", "เอง", "กินข้าว", "เอง", "ซักผ้า", "เอง" ]

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

[ "ประวัติ", "ได้", "จาก", "ลูกสาว", "ที่อยู่", "ด้วยกัน", "2", "เดือนก่อน", "มา", "รพ.", "เชื่อถือได้", "ปานกลาง", "ผู้ป่วย", "มี", "ปัญหา", "ด้าน", "การ", "ได้ยิน", "สื่อสาร", "พอ", "ได", "้" ]

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

[ "5", "mo.", "PTA", "สามี", "ที่", "อาศัย", "ด้วยกัน", "เกิด", "อุบัติเหตุ", "เสียชีวิต", "และ", "ลูกชาย", "ไป", "ทำงาน", "ต่างจังหวัด", "จึง", "อยู่", "บ้าน", "คนเดียว", "ยัง", "สามารถ", "เดิน", "ไป", "ทำงาน", "ล้างจาน", "ที่", "ร้านอาหาร", "ใกล้", "บ้าน", "ได้", "ลูกสาว", "แจ้ง", "ว่า", "พบ", "กันที่", "งานศพ", "พฤติกรรม", "ปก", "ต", "ิ" ]

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[ "2", "mo.", "PTA", "ลูกสาว", "ไป", "รับ", "ผู้ป่วย", "มา", "อยู่", "ที่", "กรุงเทพฯ", "ผู้ป่วย", "มี", "อาการ", "หวาดระแวง", "ว่า", "ผู้อื่น", "จะ", "มา", "ฆ่า", "ตนเอง", "หรือ", "ผู้อื่น", "จะ", "มา", "ขโมย", "เงิน", "(", "เป็น", "บุคคล", "ที่", "มีชีวิต", "อยู่", "จริง", ")", "ไม่", "มี", "หูแว่ว", "ไม่", "มี", "ภาพหลอน", "ไม่", "มี", "ทำร้าย", "ตนเอง", "หรือ", "ทำร้าย", "ผู้อื่น", "ไม่", "มี", "ทำลาย", "ข้าวของ", "ผู้ป่วย", "ยัง", "ทำ", "กิจวัตรประจำวัน", "ได้", "เอง", "พอ", "ๆ", "เดิม", "ลูกสาว", "สังเกต", "อาการ", "ขา", "บวม", "พอ", "เดิม", "กับ", "เมื่อ", "5", "เดือนก่อน", "นอน", "หนุน", "หมอน", "สอง", "ใบ", "อยู่", "เดิม", "ตั้งแต่", "หลัง", "ผ่าตัด", "ไม่", "ทราบ", "ว่า", "มี", "ลุก", "มา", "หอบ", "เหนื่อย", "กลางคืน", "หรือไม่", "สังเกตว่า", "ไม่", "มี", "หายใจ", "หอบ", "เหนื่อย" ]

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[ "1", "day", "PTA", "ที่", "บ้าน", "ไฟ", "ดับ", "ผู้ป่วย", "มี", "อาการ", "หวาดระแวง", "ว่า", "ลูกสาว", "จะ", "พา", "ไป", "ฆ่า", "ขัดขืน", "และ", "ตบหน้า", "ลูกสาว", "จึง", "พา", "ผู้ป่วย", "ไป", "รพ.", "ส่งตัว", "มา", "รพ.", "ไม่", "มี", "ชัก", "เกร็ง", "ไม่", "มี", "บ่น", "ปวดศีรษะ", "นำมา", "ก่อน", "ไม่", "มี", "แขนขา", "อ่อนแรง", "ไม่", "มี", "บ่น", "เจ็บ", "แน่นหน้าอก", "ไม่", "มี", "ประวัติ", "เบื่ออาหาร", "น้ำหนัก", "ลด", "ไม่", "มี", "ผื่น", "แพ้", "แสง", "ไม่", "ปวด", "ข้อ", "ไม่", "มี", "ผม", "ร่วง" ]

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[ "CXR", ":", "enlarged", "pulmonary", "trunk", ",", "increase", "pulmonary", "vasculature", ",", "blunt", "left", "costophrenic", "angle" ]

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

[ "คิดถึง", "acute", "decompensated", "heart", "failure", "ได้", "ให้", "Furosemide", "80mg.", "IV", ">", "urine", "output", "3300mL", "อาการ", "เหนื่อย", "ดีขึ้น", "admit", " ", "หอ", "ผู้ป่วย" ]

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

[ "Physical", "examination" ]

[ 1, 2 ]

[ "V/S", ":", "T", "37.2", "℃,", "Pulse", "72", "/min,", "BP", "112/68", "mmHg,", "RR", "18", "/min", "(", "O2", "canula", "3LPM)" ]

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

[ "Level", "of", "consciousness", "Retardation" ]

[ 1, 2, 2, 1 ]

[ "GA", ":", "not", "pale", ",", "no", "jaundice", ",", "slow", "response" ]

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

[ "Skin", ":", "dry&coarse", "skin" ]

[ 1, 0, 1, 2 ]

[ "Heart", ":", "median", "sternotomy", "scar", ",", "apical", "impulse", "at", "6th", "ICS", ",", "Lt.mid-clavicular", "line", ",", "RV", "heaving", ",", "no", "thrill", ",", "valve", "click", "positive", ",", "loud", "P2", ",", "no", "murmur", ",", "no", "distant", "heart", "sound" ]

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[ "RS", ":", "decrease", "at", "LLL", "dullness", "on", "percussion", "and", "crepitation" ]

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

[ "Abdomen", ":", "soft", ",", "not", "tender", ",", "liver", "and", "s", "pleen", "not", "palpable", ",", "fluid", "thrill", "&", "shifting", "dullness", "negative" ]

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

[ "Ext", ":", "no", "edema", ",", "myodeme", "positive", "at", "both", "Deltoid", "m." ]

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

[ "Nervous", "system", ":", "low", "pitch", "voice", ",", "Cranial", "nerves", ":", "intact" ]

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

[ "Motor", "IV+", "all", "extremities", ",", "sensory", "can", "not", "evaluate" ]

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

[ "DTR", ":", "reflex", "2+,", "slow", "relaxation", "of", "DTR" ]

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

[ "clonus", ",", "BBK", "absent", ",", "no", "tremor", ",", "no", "clock", "wheel", "rigidity", ",", "stiff", "neck", "negative" ]

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

[ "CXR", ":", "Blunt", "CPA", "Rt.", "cephalized", "both" ]

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

[ "EKG", "STd", "v4-6", ",", "aVR", "elevated", ",", "sinus", "tachycardia" ]

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

[ "know", "case", "SLE", "(DX", "ปี", "2550", ")", "present", "ด้วย", "(", "malar", "rash", ",", "oral", "ulcer", ",", "ANA", "+ve", ",", "Anti", "ds", "DNA", "+ve", ")", "suspected", "LN", "class", "IV" ]

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[ "last", "admit", "ด้วย", "Active", "LN", "(", "LN", ",", "serositis", ",", "myopericarditis", ")", "11-23/6/63", "จากนั้น", "ปฎิ", "เส", "ธ", "การรักษา", "ขอ", "กลับบ้าน", "มีนัด", "ทำ", "Kidney", "biopsy", "28/6/63and", "ทำ", "TEE", "30/7/63" ]

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

[ "Abdomen", ":", "normal", "contour", ",", "normoactive", "bowel", "sound", ",", "soft", ",", "not", "tender", ",", "no", "guarding", ",", "liver", "span", "8", "cm." ]

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

[ "PR", ":", "normal", "spincter", "tone", ",", "no", "palpable", "mass" ]

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

[ "1.", "Extranodal", "Marginal", "zone", "lymphoma" ]

[ 0, 1, 2, 2, 2 ]

[ "Present", "with", "Rt", "breast", "mass", "(", "Mammogram", "check", "up", "since", "2553)" ]

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

[ "CT", "neck/chest/whole", "abd", "(2/54):", "multiple", "LNs", "over", "chest", "wall", ",", "paraaortic", "and", "messenteric" ]

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

[ "BM", "Study", ":", "no", "involvement" ]

[ 1, 2, 0, 1, 2 ]

[ "Kidney", "Bx", ":", "FSGS" ]

[ 1, 2, 0, 1 ]

[ "จนถึง", "8/61", "UPCR", "1.5", "จึง", "ไม่", "ได้", "on", "immunosuppresive", "อีก" ]

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

[ "1", "วันก่อน", "มี", "อาการ", "ไข้", "ต่ำ", "ๆ", "เพลีย", "ไม่", "มี", "แรง", "ไม่", "มี", "ไอ", "ไม่", "มี", "น้ำมูก", "ไม่", "ท้องเสีย", "ไม่", "มี", "คลำ", "ได้", "ก้อน", "กิน", "ได้", "น้อย", "ฃ" ]

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

[ "GA", ":", "look", "drowsy" ]

[ 1, 0, 1, 2 ]

[ "Heart", "and", "lungs", ":", "normal" ]

[ 1, 2, 2, 0, 1 ]

[ "Abd", ":", "soft", ",", "not", "tender", ",", "no", "hepatosplenomegaly" ]

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

[ "N/E", ":", "E3V5M6,", "motor", "gr", "IV", "Rt=Lt,", "no", "stiff", "neck" ]

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

[ "vital", "signs", ":", "BT", "37,", "BP", "186/86,", "PR", "95,", "RR", "26,", "SpO2", "96%", "RA" ]

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

[ "lungs", ":", "fine", "crepitation", "BL" ]

[ 1, 0, 1, 2, 2 ]

[ "abdomen", ":", "no", "distension", ",", "soft", ",", "not", "tender", ",", "liver", "can't", "be", "palpated" ]

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

[ "extremities", ":", "pitting", "edema", "2+" ]

[ 1, 0, 1, 2, 0 ]

[ "ช", ".", "77", "ปี", "UD", ":", "present", "with", "progressive", "dyspnea", "for", "1", "wk", "no", "orthopnea", "/", "no", "pnd" ]

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

[ "CXR", "show", ":", "Rt.", "Pleural", "effusion" ]

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

[ "LDH", "335/346", ",", "protein", "=", "5.1/7.7", "gram", "stain", ":", "neg", ",", "Culture", ":", "NG", ",", "ADA", "level", "=37,", "AFB", ":", "negative" ]

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

[ "นี้", "นัด", "มา", "pleuroscope", "for", "investigation" ]

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

[ "Ext", ":", "Bilateral", "symmetrical", "large", "irregular", "ulcerated", "plaque", "with", "yellowish", "discharge", "on", "both", "anterior", "lower", "legs", "with", "undermined", "edge", "with", "erythema", "indyrated", "surrounding", "skin", "both", "legs", "." ]

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[ "HEENT", ":", "no", "carotid", "bruit" ]

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