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She has also had decreased level of consciousness since yesterday .
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She was much more congested and her appetite had decreased significantly today .
[ "O", "O", "B-problem", "I-problem", "I-problem", "O", "O", "O", "O", "O", "O", "O", "O" ]
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He states that this began approximately one week ago when he was lifting stacks of cardboard .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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He did have a protective clothing including use of gloves at the time of the incident .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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The patient does state that she is somewhat painful throughout the bones of her pelvis as well .
[ "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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The mass increased in size .
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HISTORY OF PRESENT ILLNESS : The patient presented to Dr .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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No vomiting or diarrhea .
[ "O", "B-problem", "O", "B-problem", "O" ]
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She did not do this previously .
[ "O", "O", "O", "O", "O", "O", "O" ]
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6 .
[ "O", "O" ]
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She underwent TAH with BSO in December of 2003 .
[ "O", "O", "B-treatment", "O", "B-treatment", "O", "O", "O", "O", "O" ]
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The parents noticed no improvement with albuterol treatments given in the ER .
[ "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "O", "O" ]
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Otherwise , this patient has been active , breast - feeding well , although she falls asleep at the breast .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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She is requesting a colonoscopy for screening as well .
[ "O", "O", "O", "B-test", "I-test", "O", "B-test", "O", "O", "O" ]
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She has had this off and on for four months .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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Her hemoglobin was 13 .
[ "B-test", "I-test", "O", "O", "O" ]
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The patient stated that the abdominal pain was only associated with coughing .
[ "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "O", "O", "O", "O", "B-problem", "O" ]
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It is a dull achy pain .
[ "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "O" ]
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She denies any hot flashes or night sweats .
[ "O", "O", "B-problem", "I-problem", "I-problem", "O", "B-problem", "I-problem", "O" ]
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He sleeps well , but has been more tired and has been fussy over the past 2 days .
[ "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "O", "O", "B-problem", "O", "O", "O", "O", "O", "O" ]
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Mild nausea .
[ "B-problem", "I-problem", "O" ]
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She began treatment with CIVI - CAD in December 2007 .
[ "O", "O", "O", "O", "B-treatment", "I-treatment", "I-treatment", "O", "O", "O", "O" ]
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MRI showed inflammation and was thought to be secondary to rheumatoid arthritis .
[ "B-test", "O", "B-problem", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O" ]
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HISTORY OF PRESENT ILLNESS : A 50 - year - old female comes to the clinic with complaint of mood swings and tearfulness .
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He had his finger of the left hand over the pulse and was inserting a needle using the right hand .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : This is the initial clinic visit for a 29 - year - old man who is seen for new onset of right shoulder pain .
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She was having difficulty breathing .
[ "O", "O", "O", "B-problem", "I-problem", "O" ]
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She became acutely unresponsive .
[ "O", "O", "B-problem", "I-problem", "O" ]
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She is also unable to describe the vomitus .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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At this time , she is being treated aggressively with mechanical ventilation and other supportive measures and has developed disseminated intravascular coagulation with prolonged partial thromboplastin time , prothrombin time , low fibrinogen , and elevated D - dimer .
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The child was continued on IV fluid and narcotics for pain as well as Unasyn until the time of discharge .
[ "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "O", "B-treatment", "O", "B-problem", "O", "O", "O", "B-treatment", "O", "O", "O", "O", "O", "O" ]
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She has had aphasia which is baseline but her aphasia has gotten significantly worse .
[ "O", "O", "O", "B-problem", "O", "O", "O", "O", "B-problem", "I-problem", "O", "O", "B-problem", "I-problem", "O" ]
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She does recall having palpitations because of the pain after the fall , but she states she is not having them since and has not had them prior .
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Of note , there are no other enhancing solid masses seen on this MRI .
[ "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "O", "O", "O", "B-test", "O" ]
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X from the ENT while in house .
[ "O", "O", "O", "O", "O", "O", "O", "O" ]
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She took several of her MDIs and then was placed on her CPAP .
[ "O", "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "O" ]
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She was started on Amoxil and Aldex and we told to recheck in 2 weeks to recheck her ear .
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The patient presented to our emergency room for worsening abdominal pain as well as swelling of the right lower leg .
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I am unable to get any further history from the patient because , again , she is an extremely poor historian and very hard of hearing .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "O" ]
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As he advanced the needle , the patient jerked away , this caused him to pull out of the arm and inadvertently pricked the tip of his index finger .
[ "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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For full details on the history of present illness , please see the previous history and physical .
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X ' s office on 06/14/07 complaining of a painful left foot .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "O" ]
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The patient did not walk after this accident .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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He denies any visual problems .
[ "O", "O", "B-problem", "I-problem", "I-problem", "O" ]
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The patient was driving a minivan .
[ "O", "O", "O", "O", "O", "O", "O" ]
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His urine output has also decreased ; normally he has 8 to 10 wet and 5 dirty diapers per 24 hours , now he has down to 4 wet diapers per 24 hours .
[ "B-test", "I-test", "I-test", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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She has not been on any other antidepressants in the past .
[ "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "I-treatment", "O", "O", "O", "O" ]
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Patient does have a past history compatible with allergic rhinitis and he has been taking Zyrtec serum .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "O", "O", "O", "O", "B-treatment", "O", "O" ]
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5 mg per week .
[ "O", "O", "O", "O", "O" ]
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It is currently been gone on for the last week .
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3 with white count of 11 .
[ "O", "O", "B-test", "I-test", "O", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : Mrs .
[ "O", "O", "O", "O", "O", "O", "O" ]
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4 .
[ "O", "O" ]
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If she gets up , it goes away within 15 minutes .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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She has had no problems with methotrexate as far as she knows .
[ "O", "O", "O", "O", "O", "O", "B-treatment", "O", "O", "O", "O", "O", "O" ]
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At the time of admission , the patient has a normal prothrombin time and INR of 13 .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-test", "I-test", "I-test", "I-test", "O", "B-test", "O", "O", "O" ]
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Mom denies any diarrhea .
[ "O", "O", "B-problem", "I-problem", "O" ]
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The patient states that she was driving her vehicle at approximately 40 miles per hour .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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The patient had been treated conservatively in office for approximately 5 days , but symptoms progressed with the need of incision and drainage being decided .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "O", "B-treatment", "O", "O", "O" ]
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Y and a decision was made to proceed with preoperative chemotherapy .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "O" ]
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Sometimes he has to throw the stacks a little bit as well .
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The patient was seen and evaluated at the emergency department at the time of incident and had baseline studies drawn , and has been followed by employee health for his injury .
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HISTORY OF PRESENT ILLNESS : This is a 52 - year - old native American - Indian man with hypertension , chronic intermittent bipedal edema , and recurrent leg venous ulcers , who was admitted on 01/27/09 for scheduled vascular surgery per Dr .
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HISTORY OF PRESENT ILLNESS : This is a 20 - year - old female who presented with symptoms of pneumonia and developed rapid sepsis and respiratory failure requiring intubation .
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He went to notify EMS and when he returned , she was found to not be breathing .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : The patient started the last 3 - 4 days to do poorly .
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The patient has been doing well , seen in my office at the end of December for complete physical examination .
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She was able to express her husband ' s name and also recognize some family members , but she continued to be more somnolent when she was in the emergency department .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "O", "O", "O", "O", "O", "O", "O" ]
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Since discharge , the patient has complained of shortness of breath , mainly at night when lying flat , but otherwise he states he has been well and compliant with his medication .
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She eventually became unresponsive and paramedics were called .
[ "O", "O", "O", "B-problem", "O", "O", "O", "O", "O" ]
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Two days post stereotactic core needle biopsy , however , the patient returned to the breast center with severe swelling and pain and mass in the left breast .
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The patient states that he was attempting to do a blood gas .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-test", "I-test", "I-test", "O" ]
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Multiple wound cultures have repeatedly grown Pseudomonas , Enterococcus , and Stenotrophomonas in the past .
[ "B-test", "I-test", "I-test", "O", "O", "O", "B-problem", "O", "B-problem", "O", "O", "B-problem", "O", "O", "O", "O" ]
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At that time , physical exam showed a right TM , which was red .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "O" ]
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Bleeding has been a problem ; however , it seems to have been abrogated at this time with factor replacement as well as platelet infusion .
[ "B-problem", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "B-treatment", "I-treatment", "O" ]
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This consultation was made for better control of his blood sugars .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-test", "I-test", "I-test", "O" ]
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HISTORY OF PRESENT ILLNESS : The patient is a 29 - year - old female who is here today with the above - noted complaints .
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She does not believe that she could be pregnant .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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This resolved , however , recurred in both legs .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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The patient states that she also has some pain low in her abdomen that she believes is likely due to the steering wheel or deployment on the airbag .
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Her boss asks her if she was actually on drugs in which she said no .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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He is cutting an eye tooth that causes him to be drooling and sometimes fussy .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "O", "O", "B-problem", "O" ]
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It is mild in nature .
[ "O", "O", "O", "O", "O", "O" ]
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She continues to have reflux , has noticed that if she stops taking Aciphex , then she has symptoms .
[ "O", "O", "O", "O", "B-problem", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "O", "O", "O", "O", "O", "O" ]
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4 with a platelet count of 26 , 000 .
[ "O", "O", "B-test", "I-test", "I-test", "O", "O", "O", "O", "O" ]
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The patient , subsequently , had a CBC repeated on the 10th at Hospital where her hemoglobin was 12 .
[ "O", "O", "O", "O", "O", "O", "B-test", "I-test", "O", "O", "O", "O", "O", "O", "O", "B-test", "I-test", "O", "O", "O" ]
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She brought him to the emergency room this morning after a bad coughing spell .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "O" ]
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If she takes her Aciphex , she seems that she has the reflux belching , burping , and heartburn under control .
[ "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "B-problem", "O", "B-problem", "O", "O", "B-problem", "O", "O", "O" ]
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7 .
[ "O", "O" ]
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5 .
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She has had a decreased oral intake and decreased wet diapers .
[ "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "O", "B-problem", "I-problem", "I-problem", "O" ]
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The parents also deny any vomiting , apnea .
[ "O", "O", "O", "O", "B-problem", "I-problem", "O", "B-problem", "O" ]
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She has received methotrexate on a weekly basis as an outpatient for many years .
[ "O", "O", "O", "B-treatment", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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The patient denies any pain in her knees , ankles , or feet .
[ "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O" ]
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The patient has not had any headache , nausea or vomiting .
[ "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "B-problem", "O", "B-problem", "O" ]
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The patient was recently admitted to Hospital with lower extremity cellulitis .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "O" ]
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She eventually underwent surgical resection on May 1 , 2008 with small area of residual disease , but otherwise clear margins .
[ "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "O", "O", "O", "O", "O" ]
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The patient states that her last menstrual cycle was at the end of May .
[ "O", "O", "O", "O", "B-test", "I-test", "I-test", "I-test", "O", "O", "O", "O", "O", "O", "O" ]
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Upon my questioning of the patient , she can confirm that she has been sick to her stomach and has vomited .
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