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He says that he has never been told about diabetes except during his last admission at Jefferson Hospital . | [
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] |
However , the patient ' s prothrombin time and INR rapidly rose to supratherapeutic levels . | [
"O",
"O",
"B-test",
"I-test",
"I-test",
"I-test",
"I-test",
"I-test",
"O",
"B-test",
"O",
"O",
"O",
"O",
"O",
"O"
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The patient states that she was restrained by the seatbelt and that her airbag deployed . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
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Denies any physical complaints at the present time . | [
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She showed some initial improvement , but over the last 3 - 5 days has had malaise , a low - grade fever , and severe oral ulcerations with difficulty in swallowing although she can drink liquids with less difficulty . | [
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] |
HISTORY OF PRESENT ILLNESS : This is a 60 - year - old female with multiple problems as numbered below : | [
"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 denies any history of epistaxis . | [
"O",
"O",
"O",
"O",
"O",
"B-problem",
"O"
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It is mild in nature , located in the mid epigastric area . | [
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Nose secretions are usually discolored in the morning , but clear throughout the rest of the day . | [
"B-problem",
"I-problem",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
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She developed some ulcerations of the mouth and was instructed to discontinue the methotrexate approximately ten days ago . | [
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She was also given metoprolol and HCTZ two weeks ago , after she visited the emergency room with increased systolic blood pressure . | [
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The patient denies hitting her head . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O"
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She states that she has mesothelioma in the lining of her stomach and that it does cause her some problems with eating and it causes some chronic pain . | [
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In December , he noted onset of increasing fatigue . | [
"O",
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"O",
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"I-problem",
"I-problem",
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"O"
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On questioning , the patient says that he does not have diabetes . | [
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] |
When questioned further , she described shortness of breath primarily with ambulation . | [
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"O",
"O",
"O",
"O"
] | [
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Symptoms started approximately three weeks ago and she was having difficulty hearing , although that has greatly improved . | [
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Mom states she had no fever . | [
"O",
"O",
"O",
"O",
"O",
"B-problem",
"O"
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HISTORY OF PRESENT ILLNESS : The patient is a 69 - year - old male transferred from an outlying facility with diagnosis of a stroke . | [
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The patient was doing well . | [
"O",
"O",
"O",
"O",
"O",
"O"
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She states clearly she can walk and she would be able to climb 2 flights of stairs without problems . | [
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"O",
"O",
"O",
"O",
"O",
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"O",
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The patient has history of hypercholesterolemia , presently on Lipitor 20 mg a day and hyperthyroidism , on Synthroid 0 . | [
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] |
The patient is also able to take p . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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During his hospital stay , he was commenced on metoprolol for rate control , and given that he had atrial fibrillation , he was also started on warfarin , which his INR has been followed up by the Homeless Clinic . | [
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] |
She also spiked a temperature yesterday of 102 . | [
"O",
"O",
"O",
"B-test",
"I-test",
"O",
"O",
"O",
"O"
] | [
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The patient also perceived some swelling in her face . | [
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"I-problem",
"O"
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"O",
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"O",
"O",
"O"
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The patient states that she was wearing her seatbelt . | [
"O",
"O",
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HISTORY OF PRESENT ILLNESS : This is an 18 - month - old white male here with his mother for complaint of intermittent fever for the past five days . | [
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HISTORY OF PRESENT ILLNESS : The patient is a very pleasant 57 - year old white female , a native of Cuba , being seen for evaluation and treatment of sores in her mouth that she has had for the last 10 - 12 days . | [
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Murphy , and he did a treadmill and an echocardiogram , no concerns for cardiovascular disease , and her symptoms resolved now over the last month . | [
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She has had pain in her thumbs when she is trying to do fine motor skills , has noticed this for the last several months . | [
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The patient had a normal platelet count prior too and she is being evaluated for this low platelet count . | [
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HISTORY OF PRESENT ILLNESS : This is a Workers ' Compensation injury . | [
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The patient gives a history of feeling generally unwell for a couple of days towards the end of May . | [
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She went to see Dr . | [
"O",
"O",
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"O",
"O"
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Mother states he just completed Amoxil several days ago for a sinus infection . | [
"O",
"O",
"O",
"O",
"O",
"B-treatment",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
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] |
The patient states that the car in front of her stopped too quickly and she rear - ended the vehicle ahead of her . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
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No head trauma . | [
"O",
"B-problem",
"I-problem",
"O"
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She also has had some psychiatric evaluation , but she states that she did not feel like herself on the medication , so she took herself off . | [
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"I-test",
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"O",
"O",
"O",
"O",
"O",
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Once in the Emergency Department , the patient underwent a very thorough evaluation and examination . | [
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I was consulted for nonhealing right ankle stasis ulcer . | [
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"I-problem",
"I-problem",
"O"
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] |
The patient ' s speech is clear , but he speaks nonsensically using words in combinations that don ' t make any sense . | [
"B-test",
"I-test",
"I-test",
"I-test",
"I-test",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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The main cause for his shortness of breath was believed to be due to atrial fibrillation secondary to hyperthyroidism in a setting with congestive cardiac failure . | [
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At the time of discharge his pain is markedly decreased about 2 / 10 and swelling in the area has improved . | [
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] |
Left partial nephrectomy . | [
"B-treatment",
"I-treatment",
"I-treatment",
"O"
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She is now presenting for evaluation and management of same . | [
"O",
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"O",
"O",
"O",
"O",
"O",
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When she came to the emergency room , she was found to have a rapid atrial tachyarrhythmia , and was put on Cardizem with reportedly heart rate in the 50s , so that was stopped . | [
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HISTORY OF PRESENT ILLNESS : This is a very nice 53 - year - old white male with no previous history of heart disease , was admitted to rule out MI and coronary artery disease . | [
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She denies any chest pain nor shortness of breath prior to or since the fall . | [
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] |
088 mg per day . | [
"O",
"O",
"O",
"O",
"O"
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An ECG this morning showing normal sinus rhythm with frequent APCs . | [
"B-test",
"I-test",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
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He was watching television yesterday afternoon or p . | [
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HISTORY OF PRESENT ILLNESS : The patient is a 78 - year - old woman who had undergone routine screening mammography on 06/04/08 . | [
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For his congestive cardiac failure , he was restarted on Digoxin and lisinopril . | [
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The patient has had periodic screening including a blood tests and returns now for his final exam . | [
"O",
"O",
"O",
"O",
"B-test",
"I-test",
"O",
"B-test",
"I-test",
"I-test",
"O",
"O",
"O",
"O",
"O",
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She is having some left - sided sinus pressure and actually went to the dentist because her teeth were hurting ; however , the teeth were okay . | [
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No sinus congestion or nasal drainage . | [
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] |
HISTORY OF PRESENT ILLNESS : This is a 32 - year - old Hispanic female who presents to the emergency department today via ambulance . | [
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09 respectively and postoperatively , she was placed on Coumadin which is the usual orthopedic surgery procedure for reducing the risk of postoperative thromboembolic activity . | [
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About the beginning of this year , her dosage was decreased from 25 mg to 20 mg , but because of the flare of the rheumatoid arthritis , it was increased to 22 . | [
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She is having increased diapers up to 8 wet and 6 to 7 dirty - yellow stools per day . | [
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Her lisinopril was increased to 40 mg daily . | [
"B-treatment",
"I-treatment",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
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"B-test",
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"O",
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He denies fever , chills and sweats . | [
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] |
It is mild - to - moderate in the middle of her chest and will stay there as long she lies down . | [
"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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In August of 2007 , she was treated with doxorubicin and , as well as Procrit and her blood pressure started to go up to over 200s . | [
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] |
Her dosage has varied somewhere between 20 and 25 mg per week . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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The patient was brought by ambulance following a motor vehicle collision approximately 45 minutes ago . | [
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] |
Other systems reviewed and are negative . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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He says & quot ; my doctor wants me to lose 30 - 40 pounds in weight & quot ; and he would not mind going on a diet . | [
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] |
HISTORY OF PRESENT ILLNESS : The patient presents today stating that she needs refills on her Xanax , and she would also like to get something to help her quit smoking . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-treatment",
"I-treatment",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
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Review of systems : No fever or chills . | [
"O",
"O",
"O",
"O",
"O",
"B-problem",
"O",
"B-problem",
"O"
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HISTORY OF PRESENT ILLNESS : This is a 16 - year - old white female who presents here to the emergency department in a private auto with her mother for evaluation of headache . | [
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She continues to have some left - sided jaw pain . | [
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She also states that she took herself off of lithium , but she has been having significant mood swings , anger outbursts and not dealing with the situation well at all . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
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"O",
"O",
"O",
"O",
"O",
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There is a concern that the patient had a low - grade fever of 100 . | [
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She was brought in by the EMS service to Erlanger emergency department with pulseless electrical activity . | [
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His mother has described congested sounds with cough and decreased appetite . | [
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"O",
"B-problem",
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