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Labs drawn there revealed a potassium of 7 . | [
"O",
"O",
"O",
"O",
"B-test",
"I-test",
"O",
"O",
"O"
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] |
X without any changes or corrections . | [
"O",
"O",
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"O",
"O"
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Approximately five years prior to admission , he began to note a decreased tolerance to exercise . | [
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The patient was transferred here after stopping of the continuous infusion heparin and receiving a dose of Lovenox 60 mg subcutaneously for further diagnostic evaluation and management of the acute lymphoblastic leukemia ( ALL ) . | [
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HISTORY OF PRESENT ILLNESS : The patient is an 89 - year - old gentleman with multiple medical conditions including coronary artery disease , hypothyroidism , and severe peripheral vascular disease status post multiple revascularizations , and a right below - knee amputation in June 2008 following a thrombosis of his right femoropopliteal bypass graft . | [
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Briefly , the patient is a 10 - year - old male who presented to the Hospital Emergency Department following an ATV accident . | [
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Despite increasing fatigue and lethargy , he continues his studies at University of Denver , has a biology major ( he aspires to be an ophthalmologist ) . | [
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A is a 27 - year - old woman , who suffered from morbid obesity for many years . | [
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] |
She had an EGD and colonoscopy with Dr . | [
"O",
"O",
"B-test",
"I-test",
"O",
"B-test",
"O",
"O",
"O"
] | [
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The patient denies any chest pain , palpitations , syncope , or fever . | [
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] |
HISTORY OF PRESENT ILLNESS : The patient is a 69 - year - old gentleman , a good historian , who relates that he was brought in the Emergency Room following an episode of syncope . | [
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She is currently in arteriogram and a clot has been extracted from the proximal left carotid , but there is still distal clot that they are working on . | [
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Surgery is consulted today for evaluation . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O"
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A chest x - ray prior to discharge showed some bibasilar disease , showing interstitial infiltrates . | [
"B-test",
"I-test",
"I-test",
"I-test",
"I-test",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"O",
"O",
"B-problem",
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She usually does not take her meal on time , and also not having her regular meals lately . | [
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HISTORY OF PRESENT ILLNESS : This is a 91 - year - old male with a previous history of working in the coalmine and significant exposure to silica with resultant pneumoconiosis and fibrosis of the lung . | [
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HISTORY OF PRESENT ILLNESS : A 67 - year - old male with COPD and history of bronchospasm , who presents with a 3 - day history of increased cough , respiratory secretions , wheezings , and shortness of breath . | [
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] |
HISTORY OF PRESENT ILLNESS : This is the case of a 31 - year - old white female admitted to the hospital with pelvic pain and vaginal bleeding . | [
"O",
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She was admitted to the hospitalist service with elevated blood sugars . | [
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HISTORY OF PRESENT ILLNESS : The patient is a 59 - year - old with a BRCA - 2 mutation . | [
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] |
On the BAL fluid cell count , the patient only had 5 WBCs and 5 RBCs on the differential . | [
"O",
"O",
"B-test",
"I-test",
"I-test",
"I-test",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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Prior to the episode , he denies having any symptoms of chest pain or shortness of breath . | [
"O",
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] |
Echo that is pending , and cannot be done till the patient is out of arteriogram , which is her lifesaving procedure right now . | [
"B-test",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-test",
"O",
"O",
"O",
"B-treatment",
"I-treatment",
"I-treatment",
"O",
"O",
"O"
] | [
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At that time the patient became comatose and required emergent intubation and paralyzation . | [
"O",
"O",
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"O",
"O",
"O",
"B-problem",
"O",
"O",
"B-treatment",
"I-treatment",
"O",
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The patient was well visiting in ABC , with her daughter that evening . | [
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She underwent a preoperative workup and clearance for gastric bypass and was found to be an appropriate candidate . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-treatment",
"I-treatment",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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] |
, and flow cytometry was performed on the peripheral blood . | [
"O",
"O",
"B-test",
"I-test",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
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However , both of these problems have continued . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
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The patient denies any loss of consciousness . | [
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
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HISTORY OF PRESENT ILLNESS : The patient is a 66 - year - old African American gentleman with a past medical history of atrial fibrillation and arthritis who presented c / o progressively worsening shortness of breath . | [
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He then had a tracheostomy placed . | [
"O",
"O",
"O",
"B-treatment",
"I-treatment",
"O",
"O"
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The transbronchial biopsies did not show any evidence of pneumocystis , fungal infection , AFB . | [
"B-test",
"I-test",
"I-test",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"O",
"B-problem",
"I-problem",
"O",
"B-problem",
"O"
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This is fairly stable for her . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O"
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She came in consult with Dr . | [
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X - ray of the low back did show a mild compression fracture of L1 . | [
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Postop acute blood loss anemia was treated with blood transfusions to an adequate level of hemoglobin . | [
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There was no ground glass change . | [
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"O"
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Physical therapy and occupational therapy were initiated and continued to work with her towards discharge clearance on the day of her discharge . | [
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She has had no falls that would contribute to a compression fracture . | [
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X who after reviewing the clinical and radiological findings recommended she undergo a right total hip arthroplasty and removal of old hardware . | [
"O",
"O",
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"O",
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"O",
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The patient is wanting to lose weight before her surgery . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-treatment",
"I-treatment",
"O"
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BAL and transbronchial biopsies were performed . | [
"B-test",
"O",
"B-test",
"I-test",
"O",
"O",
"O"
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She has no previous history of fever blisters . | [
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The patient currently is receiving feedings via tube and also she has a tracheostomy in place . | [
"O",
"O",
"O",
"O",
"O",
"B-treatment",
"O",
"B-treatment",
"O",
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"O",
"O",
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"O",
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He also began taking Accutane for persistent acne in December ( this agent was stopped on 02/19/2007 ) . | [
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] |
These studies became available the afternoon of 02/23/2007 , and confirmed the diagnosis of precursor - B acute lymphoblastic leukemia . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"I-problem",
"I-problem",
"I-problem",
"O"
] | [
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She had pain in her left posterior pelvic and low back region . | [
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Her diastolic at that time rose up to 190 , likely the result of the acute second stroke . | [
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HISTORY OF PRESENT ILLNESS : This is a 53 - year - old Hispanic man with diabetes , morbid obesity , hepatitis C , cirrhosis , history of alcohol and cocaine abuse , who presented in the emergency room on 01/07/09 for ground - level fall secondary to weak knees . | [
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HISTORY OF PRESENT ILLNESS : A 48 - year - old African - American male with a history of coronary artery disease , COPD , congestive heart failure with EF of 20 % - 25 % , hypertension , renal insufficiency , and recurrent episodes of hypertensive emergency , admitted secondary to shortness of breath and productive cough . | [
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] |
The patient has a history of prior stereotactic core needle biopsy of the left breast , which was performed on 01/27/04 . | [
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HISTORY OF PRESENT ILLNESS : The patient is a 56 - year - old presenting with a large mass aborted through the cervix . | [
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HISTORY OF PRESENT ILLNESS : This patient is a 24 - year - old African - American female who presented to the hospital with buttock pain . | [
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He was seen by me in the office on the day of admission and noted to be dyspneic with audible wheezing and he was admitted for acute asthmatic bronchitis , superimposed upon longstanding COPD . | [
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] |
HISTORY OF PRESENT ILLNESS : Details are present in the dictated report . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
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He then changed antibiotic regiment to vancomycin and doripenem . | [
"O",
"O",
"O",
"B-treatment",
"I-treatment",
"O",
"B-treatment",
"O",
"B-treatment",
"O"
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3 with heart rate of 130 , respiratory rate of 24 . | [
"O",
"O",
"B-test",
"I-test",
"O",
"O",
"O",
"B-test",
"I-test",
"O",
"O",
"O"
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The patient was scheduled to undergo her procedure on 12/31/09 ; however , at blood glucose check , the patient was noted to be hyperglycemic , her sugar was 438 . | [
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ABC is a 57 - year - old woman . | [
"O",
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This study showed moderately increased diffuse bone marrow metabolic activity . | [
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"I-problem",
"I-problem",
"I-problem",
"I-problem",
"O"
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Further staging revealed borderline mediastinal pretracheal lymphadenopathy but was otherwise unremarkable . | [
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] |
CT scan of the abdomen was obtained to rule out possible appendicitis and on that CT , a large clot in the inferior vena cava extending to the right iliac and femoral veins was found . | [
"B-test",
"I-test",
"I-test",
"I-test",
"I-test",
"O",
"O",
"O",
"O",
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"O",
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He stated that he had had a brother who died of heart failure at age 72 . | [
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"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"O",
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He also noted that over the past year his left testicle had been getting progressively more swollen and painful . | [
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From there , he has been admitted to Long - Term Acute Care Facility for wound care with wound VAC placement . | [
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XYZ and immunopathology was done to look for CMV . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"O"
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The patient was admitted because of persistent high fevers without a clear - cut source of infection . | [
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Her diarrhea now has settled down and she is having less urinary incontinence , less pedal edema . | [
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The patient also has a long - standing history of diabetes which is treated with Micronase daily . | [
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HISTORY OF PRESENT ILLNESS : The patient is a 45 - year - old male complaining of abdominal pain . | [
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] |
The patient had 3 nucleoli on the biopsy specimens that stained positive and were consistent with CMV infection . | [
"O",
"O",
"O",
"O",
"O",
"O",
"B-test",
"I-test",
"I-test",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"O"
] | [
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XYZ saw the patient . | [
"O",
"O",
"O",
"O",
"O"
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He denied orthopnea or paroxysmal nocturnal dyspnea but did become dyspneic after walking 2 - 3 blocks where before he had been able to jog 2 - 3 miles . | [
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She does not remember the name of the antibiotic . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
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The patient also has gotten back on her Zoloft because she thinks she may be depressed , sleeping all the time , just not herself and really is disturbed that she cannot be more mobile in things . | [
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He did report that he had had an episode of hemoptysis approximately 2 years prior to admission for which he did not seek medical attention . | [
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Approximately five weeks prior to his current presentation , the patient was involved in a motor vehicle accident at 40 mph . | [
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HISTORY OF PRESENT ILLNESS : For complete details , please see dictated history and physical by Dr . | [
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Appropriate blood studies were obtained and he underwent a PET / CT scan as part of his diagnostic evaluation . | [
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ABC is a pleasant 60 - year - old Caucasian female who was diagnosed in April 2008 with diffuse large B - cell lymphoma after she developed visual saltation , changes , and confusion . | [
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She did mention having some issues with fruits that did upset her stomach . | [
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