context stringclasses 236
values | question stringlengths 2 220 | answers dict | num_tokens int64 168 1.02k |
|---|---|---|---|
This 57-year-old female with a distant history of ovarian cancer, rheumatoid arthritis with systemic lupus erythematosus features, and history of TTP, status post splenectomy, was admitted with fever, shortness of breath, and pleuritic chest pain. She was initially given cefuroxime and levofloxacin in the emergency dep... | Is the patient currently or have they ever taken entex-la | {
"answer_end": [
541
],
"answer_start": [
532
],
"text": [
"Entex-LA,"
]
} | 411 |
An 81-year-old woman with Atrial Fibrillation (AF) on Fondaparinux, no Coumadin secondary to prior epistaxis, Non-small Cell Lung Cancer (NSC Lung Ca), and Pernicious Anemia (Pernicious Anemia) presents with three days of constant chest pain, pleuritic, not exertional, and mostly related to arm movement. Treatment incl... | Has a patient had morphine | {
"answer_end": [
1342
],
"answer_start": [
1319
],
"text": [
"MORPHINE & TRAMADOL HCL"
]
} | 749 |
A 59 year-old woman with metastatic breast cancer and a history of pulmonary embolism presented with symptoms of fatigue, lethargy, tachycardia and fever. CXR showed LLL opacity, LUL opacity and hilar fullness on the right with prominent bronchi (?cuffing) and vertebral fractures. She was admitted with bacteremia on 7/... | Why was tessalon perles ( benzonatate ) originally prescribed | {
"answer_end": [
1007
],
"answer_start": [
988
],
"text": [
"N Other:congestion,"
]
} | 430 |
Ms. Elter is an 83-year-old Spanish-speaking female with history of CAD, distant three-vessel CABG, CRI, NSTEMI in 4/20 and type II diabetes who presented to the ED with PND, dyspnea on exertion, and chest heaviness with no fevers or chills and no sick contacts, and EMS had given her Lasix and Nitrospray. She was brief... | Is there history of use of allopurinol | {
"answer_end": [
539
],
"answer_start": [
475
],
"text": [
"aspirin, metoprolol, allopurinol, valsartan, glipizide, Lipitor,"
]
} | 609 |
This 62-year-old white male with insulin dependent diabetes mellitus, coronary artery disease and ischemic cardiomyopathy was admitted with syncope. He had a history of anterior MI in 1980 and 1986 as well as a CABG in 1987 with LIMA to LAD, SVG to OM and SVG to PDA. Evaluation for heart transplant found cirrhosis by l... | How much synthroid does the patient take per day | {
"answer_end": [
933
],
"answer_start": [
878
],
"text": [
"Synthroid 250 mcg p.o. q.d., and Prozac 20 mg p.o. q.d."
]
} | 342 |
Patient Alequin, Garland, a 57-year-old female with a complex medical history including squamous cell lung cancer, cirrhosis, COPD, HTN, PVD, seizure disorder, history of SDH, large abdominal ventral hernia, and chronic back pain, was admitted to the ED obtunded with decreased BP. She had received all her medications a... | What is has been given for treatment of her bs | {
"answer_end": [
1686
],
"answer_start": [
1662
],
"text": [
"Novolog (Insulin Aspart)"
]
} | 802 |
This is a 70-year-old woman with ischemic cardiomyopathy, coronary artery disease status post MI, insulin-dependent diabetes, peripheral vascular disease, and chronic renal insufficiency who presented in volume overload after a previous admission. She had been diuresed with a Lasix drip at 10 mg per hour and Zaroxolyn ... | What is the patient's current dose does the patient take of her zaroxolyn | {
"answer_end": [
403
],
"answer_start": [
310
],
"text": [
"Zaroxolyn at 2.5 mg p.o. daily, and her Lopressor was held for a decompensated heart failure."
]
} | 739 |
Justin Eans, a 56 year old patient with a history of DM, HTN, hypertryglyceridemia and depression, was admitted to the medical service on 11/4/2004 with 2-day h/o increasing abdominal girth, 1-day h/o shortness of breath, pleuritic CP and an increase in nocturia from 2x to 6x. He was given i.v. Lasix for presumed CHF, ... | Has this patient ever been prescribed niferex-150 | {
"answer_end": [
693
],
"answer_start": [
667
],
"text": [
"Niferex-150 150 mg PO BID,"
]
} | 686 |
GVERRERO , STAN O 346-21-49-8, a 74 yo woman in remission from Hodgkin's Lymphoma and s/p renal transplant( 11/12 ), was discharged to Home with the attending physician being KERSON , RODNEY S , M.D. and code status being Full code. She was prescribed FESO4 ( FERROUS SULFATE ) 300 MG PO BID, FOLATE ( FOLIC ACID ) 1 MG ... | Has this patient ever been prescribed simvastatin | {
"answer_end": [
988
],
"answer_start": [
962
],
"text": [
"SIMVASTATIN & CYCLOSPORINE"
]
} | 1,014 |
Stansbury Ellsworth, a 59-year-old female with NIDDM, GERD, HTN, Depression, and known CAD s/p circumflex stent 2002, was admitted with atypical chest pain. Her EKG showed NSR 79 bpm, normal axis and intervals, with 1 mm ST segment depression V3-V5, and inverted Ts in V3-V5. Her CXR was negative for effusions, infiltra... | Has this patient ever been treated with clonazepam | {
"answer_end": [
569
],
"answer_start": [
545
],
"text": [
"CLONAZEPAM 0.5 MG PO QD,"
]
} | 648 |
This 90+-year-old male with a complex past medical history including CAD, CHF, AF and diabetes mellitus presented to the SICU for removal of chronically MRSA-infected mesh from prior abdominal surgery. He was intubated with etomidate, succinylcholine and kept sedated with Versed and fentanyl. He received intraoperative... | levofloxacin | {
"answer_end": [
389
],
"answer_start": [
336
],
"text": [
"levofloxacin as well as 2200 mL of lactated Ringer's."
]
} | 629 |
Glen Cooperwood, a 69 year old male with ischemic CMP (EF 25-30%), recent admission for atrial flutter, s/p ablation, and NSVT, was discharged on 6/11/05 at 12:00 PM. The patient was given ACETYLSALICYLIC ACID 81 MG PO QD, INSULIN NPH HUMAN 10 UNITS SC BID, LISINOPRIL 10 MG PO QD, OXYCODONE 5-10 MG PO Q6H PRN Pain, COU... | Has this patient ever been treated with coumadin ( warfarin sodium ) | {
"answer_end": [
356
],
"answer_start": [
317
],
"text": [
"COUMADIN (WARFARIN SODIUM) 5 MG PO QPM,"
]
} | 703 |
The patient is an 83-year-old female with a history of coronary artery bypass grafting (CABG) in 1993, a left main and diagonal percutaneous transluminal coronary angioplasty (PTCA) with cypher stent, and a bare metal stent in the diagonal for recurrent chest pain. She was admitted for possible myocardial infarction du... | Has patient ever been prescribed calcium carbonate | {
"answer_end": [
1348
],
"answer_start": [
1279
],
"text": [
"Calcium Carbonate 1,500 mg (600 mg elem Ca)/Vit D 200 IU 1 tab PO QD,"
]
} | 676 |
This 62-year-old white male with insulin dependent diabetes mellitus, coronary artery disease and ischemic cardiomyopathy was admitted with syncope. He had a history of anterior MI in 1980 and 1986 as well as a CABG in 1987 with LIMA to LAD, SVG to OM and SVG to PDA. Evaluation for heart transplant found cirrhosis by l... | Has this patient ever tried lipitor | {
"answer_end": [
741
],
"answer_start": [
717
],
"text": [
"Lipitor 20 mg p.o. q.d.,"
]
} | 342 |
GVERRERO , STAN O 346-21-49-8, a 74 yo woman in remission from Hodgkin's Lymphoma and s/p renal transplant( 11/12 ), was discharged to Home with the attending physician being KERSON , RODNEY S , M.D. and code status being Full code. She was prescribed FESO4 ( FERROUS SULFATE ) 300 MG PO BID, FOLATE ( FOLIC ACID ) 1 MG ... | Has patient ever been prescribed levo/flagyl | {
"answer_end": [
2475
],
"answer_start": [
2404
],
"text": [
"CXR showed no infiltrate/opacity. Levo/Flagyl given empirically x 5days"
]
} | 1,014 |
This 70-year-old female with CHF, coronary artery disease, diabetes, peripheral vascular disease, and chronic renal insufficiency was admitted on 0/5/06 for weakness and confusion. Her hospital course was complicated by worsening cardiac function with minimal improvement on milrinone and decreasing urine output despite... | Is the patient currently or have they ever taken flagyl | {
"answer_end": [
586
],
"answer_start": [
508
],
"text": [
"antibiotics with levofloxacin, Flagyl, and vancomycin. She required a transfer"
]
} | 301 |
The patient had continued to remain stable from an ischemia standpoint and a beta-blocker was added back to his regimen and was titrated to a dose of Lopressor 12.5 mg p.o. t.i.d. He continues on aspirin and statin, and he also continues on Isordil 20 mg p.o. t.i.d. and hydralazine 50 mg p.o. t.i.d. for after load redu... | Has the patient ever had insulin regimen | {
"answer_end": [
1494
],
"answer_start": [
1396
],
"text": [
"insulin regimen can be adjusted as an outpatient and possibly oral diabetes medications restarted."
]
} | 580 |
A 59 year-old woman with metastatic breast cancer and a history of pulmonary embolism presented with symptoms of fatigue, lethargy, tachycardia and fever. CXR showed LLL opacity, LUL opacity and hilar fullness on the right with prominent bronchi (?cuffing) and vertebral fractures. She was admitted with bacteremia on 7/... | Previous taxol. | {
"answer_end": [
405
],
"answer_start": [
387
],
"text": [
"with weekly Taxol."
]
} | 430 |
Faustino Decicco was admitted to the CAR service on 4/24/2006 and discharged on 11/30/2006 with a Full code status. The patient was treated for nausea with Reglan, and additionally had a UTI which was treated with empiric amox. She underwent TKR on 4/10 without cardiac complications and was sent to rehab until 5/22 whe... | Has the pt. ever been on enteric coated aspirin ( aspirin enteric coated ) before | {
"answer_end": [
830
],
"answer_start": [
767
],
"text": [
"Enteric Coated Aspirin (Aspirin Enteric Coated) 81 MG PO daily,"
]
} | 712 |
The patient was admitted on 4/20/2006 with an Altered Mental Status. A team meeting was held on 3/25/06 and the patient was started on 250 mg b.i.d. of Depakote and Haldol was reduced to just Monday-Wednesday-Friday 1 mg before hemodialysis and 1 mg p.r.n. agitation. On 0/16/06, the patient was diagnosed with pneumonia... | Previous advair diskus 250/50 | {
"answer_end": [
1776
],
"answer_start": [
1714
],
"text": [
"Advair diskus 250/50 one puff b.i.d., Nexium 20 mg p.o. daily,"
]
} | 733 |
Eli Frigge (047-45-81-2) was admitted with lightheadedness and hypertension, and discharged with a principal discharge diagnosis of s/p pacemaker placement and other diagnoses including CAD s/p CABG x 2, RAS c L renal stent, bilateral common iliac artery stents, PAF, and DM. A dual chamber Guidant pacemaker was inserte... | What types of medications have been tried for anticoagulation management | {
"answer_end": [
486
],
"answer_start": [
449
],
"text": [
"Cardiology recommended dc'ing Aspirin"
]
} | 512 |
Randy Szalay is a 60 year old female with DMII, PVD, chronic AF and a DDI pacer on coumadin who has had a history of recurrent LE ulcerations. She was admitted to medicine with an RLE ulcer, diabetic foot ulcer with ? osteo (Plain films negative but early signs may be absent). She was started on Unasyn in the ED and to... | When was antibiotics discontinued | {
"answer_end": [
1540
],
"answer_start": [
1440
],
"text": [
"She was also instructed to take antibiotics for 7 days and to avoid high Vitamin-K containing foods,"
]
} | 513 |
A 57 year old woman with multiple cardiac risk factors presented with substernal chest pain relieved by two sublingual nitroglycerins, nausea, and an acid taste. She was ruled out for myocardial infarction by enzyme sets respectively, with no change in EKGs. Her physical examination was afebrile with a blood pressure o... | has there been a prior nitroglycerin. | {
"answer_end": [
134
],
"answer_start": [
65
],
"text": [
"with substernal chest pain relieved by two sublingual nitroglycerins,"
]
} | 338 |
Patient Omar J. Coolbaugh, a 71-year-old female post cardiac transplant with allograft coronary artery disease, bilateral carotid disease, TIA, diabetes, and obesity, was admitted on 11/8/2007 and discharged on 4/14/2007 with s/p angioplasty and stenting. The medications on admission included Mycophenolate Mofetil 1000... | Is there history of use of furosemide | {
"answer_end": [
418
],
"answer_start": [
402
],
"text": [
"Furosemide PO QD"
]
} | 629 |
Mr. Wolfinbarger is a 55 year old male with Coronary Artery Disease who was admitted to Enreen Dallout Medical Center for cardiac catheterization. His Past Medical History includes non-Hodgkin's lymphoma, status bone marrow transplant and chemotherapy in 1992 and 1993; history of hypercholesterolemia, hypertension, ins... | Has the patient ever been on zantac | {
"answer_end": [
585
],
"answer_start": [
499
],
"text": [
"Procardia XL 90 mg q.d, Lipitor 20 mg q.d., aspirin 325 mg q.d., Zantac 150 mg b.i.d.,"
]
} | 460 |
This is a 72 year old black female with a history of hypertension, angina, adult onset diabetes, and recurrent syncopal events who was treated with Dilantin for less than a year in 1970 and her last episode was in 1989. She was given Nitro Paste and 1 amp of D50 when she experienced a syncopal event on the morning of a... | Has the patient had micronase. in the past | {
"answer_end": [
476
],
"answer_start": [
454
],
"text": [
"Micronase 5 mg po q d,"
]
} | 456 |
This 70-year-old woman with a complex medical history, including cerebrovascular accident x two in 1980s without deficits, seizure history probably secondary to ETOH withdrawal, hypertension x 30 years, asthma, gout, and status post repair of subclavian artery stenosis in 1993, presented to the Dagha Medical Center wit... | Has a patient had albuterol nebulizers | {
"answer_end": [
1860
],
"answer_start": [
1826
],
"text": [
"Albuterol nebulizers 250 mg q.4h.,"
]
} | 635 |
Mr. Neilsen is a 59-year-old morbidly obese man with a history of morbid obesity, paroxysmal atrial fibrillation, ejection fraction of 40 percent, obstructive sleep apnea on continuous positive airway pressure, history of cellulitis, and presenting with progressive lower extremity weakness bilaterally and urinary incon... | How much multivitamin does the patient take per day | {
"answer_end": [
1760
],
"answer_start": [
1726
],
"text": [
"Bactrim DS one tablet p.o. t.i.d.,"
]
} | 495 |
The patient was admitted on 4/20/2006 with an Altered Mental Status. A team meeting was held on 3/25/06 and the patient was started on 250 mg b.i.d. of Depakote and Haldol was reduced to just Monday-Wednesday-Friday 1 mg before hemodialysis and 1 mg p.r.n. agitation. On 0/16/06, the patient was diagnosed with pneumonia... | What blood sugar meds has vet tried in past | {
"answer_end": [
2045
],
"answer_start": [
1973
],
"text": [
"aspart sliding scale starting at blood sugar less than 125 give 0 units,"
]
} | 733 |
Stettler, Hal 223-66-98-9, an 81 y.o. woman, was admitted to the hospital on 1/15/2004 with pneumonia and discharged on 6/18/2004. Mrs. Marnett presented with chest pain, difficulty speaking, nausea, and lightheadedness and had URI symptoms two weeks prior. On arrival to the floor, a raised, painful area was noted on h... | Has the patient ever been on guaifenesin | {
"answer_end": [
1381
],
"answer_start": [
1326
],
"text": [
"GUAIFENESIN 10 MILLILITERS PO Q6H Starting Today (2/12)"
]
} | 916 |
Ms. Dozois is a 64-year-old female admitted to MICU on 2/19/2005 for neutropenia, nausea, vomiting, abdominal pain, and shortness of breath, requiring intubation and pressors. Her medical problems included severe COPD (on home O2 2 liters baseline sat below 90s), nonsmall cell lung cancer (diagnosed in 1999, status pos... | What medications have been previously used for the treatment of headache | {
"answer_end": [
2436
],
"answer_start": [
2395
],
"text": [
"Tylenol 650 to 1000 mg PO q. 6h PRN pain,"
]
} | 906 |
The patient is a 58-year-old female with chronic renal insufficiency, diabetes mellitus, hypertension, and anemia who presented with two weeks of diffuse abdominal pain that acutely worsened one day prior to admission with associated nausea, nonbloody emesis, and chills. She was initially given a seven-day course of ci... | Has the patient ever had dilaudid | {
"answer_end": [
1450
],
"answer_start": [
1408
],
"text": [
"Dilaudid 0.4-0.8 mg p.o. q.4. p.r.n. pain,"
]
} | 590 |
The patient is a 75-year-old female with a history of 2. Diabetes , on insulin, congestive heart failure, bilateral occipital CVAs, hypertension, chronic renal insufficiency, coronary artery disease, visual impair with tunnel vision, monoclonal gammopathy, and left upper extremity thrombophlebitis. She was found at hom... | Has this patient ever been on levofloxacin | {
"answer_end": [
1811
],
"answer_start": [
1725
],
"text": [
"was treated initially with levofloxacin for her right lower lobe pneumonia versus CHF,"
]
} | 968 |
Patient Mariano Librizzi was admitted on 4/21/2005 with a viral infection and severe pulmonary hypertension, and discharged on 9/22/2005 to go home. The discharge medications included ECASA (Aspirin Enteric Coated) 81 MG PO QD, with a potentially serious interaction with Warfarin & Aspirin, COLACE (Docusate Sodium) 100... | has there been a prior ecasa ( aspirin enteric coated ) | {
"answer_end": [
227
],
"answer_start": [
184
],
"text": [
"ECASA (Aspirin Enteric Coated) 81 MG PO QD,"
]
} | 712 |
Patient Isaac Vanover, Jr., a 44-year-old man with a history of CAD s/p MI x2 4/14 with PCI, in stent thrombosis, and re-stenting, was admitted multiple times for CP with associated fatigue and SOB. He was placed on ECASA (Aspirin Enteric Coated) 325 MG PO QD, COLACE (Docusate Sodium) 100 MG PO BID PRN constipation, EN... | has there been a prior plavix | {
"answer_end": [
965
],
"answer_start": [
928
],
"text": [
"Managed on Hep, TNG gtt, Plavix, ACE,"
]
} | 604 |
Ms. Hora is a 45 year old woman with hypertensive disease, diabetes, obesity, sleep apnea and peptic ulcer disease who presented with sustained chest pain and shortness of breath. She underwent an exercise tolerance test with MIBI which showed a borderline to minimal anterior reversible defect. The patient was admitted... | Has a patient had cisapride | {
"answer_end": [
514
],
"answer_start": [
426
],
"text": [
"She was managed by the addition of a gastrointestinal regimen of Prilosec and Cisapride,"
]
} | 303 |
Patient KOMLOS, COLEMAN 223-66-98-9 was admitted on 10/26/2000 and discharged on 9/4 AT 04:00 PM to Home w/ services with a code status of Full code. A 78F with HTN, PAFon amiodarone, MS s/p MVR on coumadin, and ?CAD/IMI with clean coronaries on cath '91, presented with two episodes of ?syncope. The patient had 2.1 CXR... | Has the patient ever taken nitroglycerin 1/150 ( 0.4 mg ) for their chest pain | {
"answer_end": [
850
],
"answer_start": [
769
],
"text": [
"NITROGLYCERIN 1/150 (0.4 MG) 1 TAB SL q5min x 3 PRN chest pain HOLD IF: SBP <100,"
]
} | 759 |
The patient is a 70-year-old woman with a history of Congestive Heart Failure due to diastolic dysfunction, Crohn's colitis, right breast carcinoma, diabetes mellitus, obstructive sleep apnea, gastroesophageal reflux disease, hypercholesterolemia, and osteoarthritis. She was admitted with volume overload for diuresis, ... | tamoxifen | {
"answer_end": [
1115
],
"answer_start": [
1060
],
"text": [
"tamoxifen 20 mg p.o. q.h.s., Vitamin E 400 U p.o. q.d.,"
]
} | 942 |
The patient is a 71-year-old male with a history of nonischemic dilated cardiomyopathy, diabetes, obstructive sleep apnea, obesity hypoventilation syndrome, and atrial flutter status post ablation. He presented with shortness of breath and a witnessed apneic episode with loss of consciousness and cyanosis. In the Cents... | has there been a prior antibiotics | {
"answer_end": [
1808
],
"answer_start": [
1747
],
"text": [
"was started on antibiotics following his pacemaker placement,"
]
} | 788 |
76 year-old male with significant cardiac history, including NSTEMI and asystole arrest, presented with weakness, dizziness, and chest pain for 3 days, currently chest pain-free. EKG on admission showed subtle changes with <1 mm ST depression in lateral leads. Patient was given Acetylsalicylic Acid 325 mg PO QD, Ativan... | Has the patient ever tried docusate sodium | {
"answer_end": [
442
],
"answer_start": [
412
],
"text": [
"Docusate Sodium 100 mg PO BID,"
]
} | 661 |
RECORD #159637 was a 45-year-old male with multiple cardiac risk factors, including known CAD s/p MI (4/14 with PCI to LAD, complicated by instent thrombosis 1 week post-cath->successfully restented), HTN, dyslipidemia, obesity, and positive FHx who was admitted on 4/22/2003 with non-ischemic chest pain. He had an E... | Was the patient ever prescribed clopidogrel | {
"answer_end": [
1355
],
"answer_start": [
1331
],
"text": [
"Clopidogrel 75 MG PO QD,"
]
} | 660 |
This is a 63-year-old female who presented with bilateral lower extremity edema, increasing shortness of breath, 3+ edema in the extremities, areas of erythematous and shiny shallow ulcerations, significant laboratory data of sodium 147, potassium 3.4, chloride 110, CO2 26, BUN 23, creatinine 1.6, and glucose 69, CBC s... | Has this patient ever been on miconazole nitrate powder | {
"answer_end": [
2379
],
"answer_start": [
2331
],
"text": [
"Miconazole nitrate powder topical b.i.d. p.r.n.,"
]
} | 971 |
The patient is a 76-year-old female with a history of mitral regurgitation, congestive heart failure, recurrent UTIs, and uterine prolapse who presented with chills and hypotension and was admitted to the Medical ICU for treatment of septic shock. Mean arterial pressures were kept above 65 with Levophed and antibiotics... | Is there a mention of of gentamicin usage/prescription in the record | {
"answer_end": [
454
],
"answer_start": [
377
],
"text": [
"gentamicin 50 mg IV q.8h. An ATEE on 10/19 showed severe mitral regurgitation"
]
} | 655 |
A 58 year old woman with a history of CABG times three, inferior myocardial infarction, peptic ulcer disease, anemia, and cholelithiasis was admitted with substernal chest pain at rest, dysphagia, light-headedness, coughing, and nocturia. On admission, her blood pressure was 110/68 lying and 90/palp sitting, O2 sat was... | Why is the patient prescribed nitroglycerin | {
"answer_end": [
698
],
"answer_start": [
619
],
"text": [
"nitroglycerin 50 units which was increased to 100 units. EKG changes were noted"
]
} | 322 |
The 68-year-old female patient presented with lower extremity swelling and erythema at the lower pole of her sternal wound, and her past medical history includes hypertension, diabetes, hypothyroidism, hypercholesterolemia, COPD, GERD, depression, history of GI bleed on Coumadin therapy, and pulmonary hypertension. On ... | Has the patient ever tried antibiotics | {
"answer_end": [
775
],
"answer_start": [
679
],
"text": [
"nd a Lasix drip and Diuril with antibiotics for coverage of possible lower extremity cellulitis."
]
} | 809 |
The patient, Emile Daron 493-31-10-1, was admitted on 3/17/2003 for pancreatitis with a Discharge Date of 2/1/2003 and was placed on a Full Code status and discharged to Home. She had a definite allergy (or sensitivity) to muscle relaxants, skeletal, and possible allergy (or sensitivity) to sulfa. The patient is a 64-y... | Why did the patient have nph | {
"answer_end": [
2748
],
"answer_start": [
2632
],
"text": [
"Has had poor glucose control. HbA1c 13. We continued NPH HUMULIN INSULIN 10 UNITS SC QAM and started AM NPH as well."
]
} | 934 |
Faustino Decicco was admitted to the CAR service on 4/24/2006 and discharged on 11/30/2006 with a Full code status. The patient was treated for nausea with Reglan, and additionally had a UTI which was treated with empiric amox. She underwent TKR on 4/10 without cardiac complications and was sent to rehab until 5/22 whe... | What was the indication for my patient's senna tablets ( sennosides ) | {
"answer_end": [
766
],
"answer_start": [
709
],
"text": [
"Senna Tablets (Sennosides) 2 TAB PO BID PRN Constipation,"
]
} | 712 |
Eli Frigge (047-45-81-2) was admitted with lightheadedness and hypertension, and discharged with a principal discharge diagnosis of s/p pacemaker placement and other diagnoses including CAD s/p CABG x 2, RAS c L renal stent, bilateral common iliac artery stents, PAF, and DM. A dual chamber Guidant pacemaker was inserte... | Is there history of use of antibiotics | {
"answer_end": [
782
],
"answer_start": [
748
],
"text": [
"starting after IV ANTIBIOTICS END,"
]
} | 512 |
Patient Isaac Vanover, Jr., a 44-year-old man with a history of CAD s/p MI x2 4/14 with PCI, in stent thrombosis, and re-stenting, was admitted multiple times for CP with associated fatigue and SOB. He was placed on ECASA (Aspirin Enteric Coated) 325 MG PO QD, COLACE (Docusate Sodium) 100 MG PO BID PRN constipation, EN... | Has the patient had b blocker in the past | {
"answer_end": [
965
],
"answer_start": [
928
],
"text": [
"Managed on Hep, TNG gtt, Plavix, ACE,"
]
} | 604 |
Mr. Gramby is a 43-year-old man with morbid obesity, type II diabetes, hypertension, hyperlipidemia, chronic renal insufficiency, and severe peripheral arterial disease status post femoral popliteal bypass in July which was complicated by repeated return of cellulitis x 2 who was admitted with cellulitis and volume ove... | Was the patient on any medication for her hypertensive | {
"answer_end": [
1259
],
"answer_start": [
1176
],
"text": [
"was treated with Hydralazine initially and transitioned to his p.o. home medicines,"
]
} | 613 |
A 45-year-old female with a history of IDDM, sleep apnea, asthma on chronic prednisone, HTN, and CAD s/p NSTEMI in 6/10 with a stent to the LAD presented with 3 days of worsening dyspnea and chest pressure. She was treated for an asthma exacerbation with Prednisone 40 mg PO QAM x 10 doses, Instructions: Taper: 40mg for... | Previous nsaids. | {
"answer_end": [
2347
],
"answer_start": [
2304
],
"text": [
"chest pain/costochondritis with PRN NSAIDs,"
]
} | 952 |
A 58-year-old woman with multiple cardiac risk factors (uncontrolled DM2 10.3 HgbAIC, HTN, lipids), Asthma, Sleep Apnea, and 1 week of worsening DOE was admitted for r/o MI. Her BP was elevated at 150-160's/80-90 and was stabilized with IV lopressor and nitro paste. Her CV- cardiac enz was neg x3- ASA, no BB secondary ... | Was the patient ever prescribed novolin innolet 70/30 ( insulin 70/30 ( human ) ) | {
"answer_end": [
523
],
"answer_start": [
461
],
"text": [
"NOVOLIN INNOLET 70/30 (INSULIN 70/30 (HUMAN)) 100 UNITS SC BID"
]
} | 526 |
Logan Czaplinski, an 833-08-42-8 patient, was admitted on 1/27/2001 and discharged on 5/18/2001 to his home with a prescription of ASA (Acetylsalicylic Acid) 81 MG PO QD, Allopurinol 300 MG PO QD, Digoxin 0.25 MG PO QD, Folic Acid 1 MG PO QD, Lasix (Furosemide) 80 MG PO BID, Ativan (Lorazepam) 1 MG PO BID PRN anxiety o... | Has this patient ever been on imdur ( isosorbide mononit.( sr ) ) | {
"answer_end": [
616
],
"answer_start": [
572
],
"text": [
"Imdur (Isosorbide Mononit.(SR)) 60 MG PO QD,"
]
} | 702 |
GVERRERO , STAN O 346-21-49-8, a 74 yo woman in remission from Hodgkin's Lymphoma and s/p renal transplant( 11/12 ), was discharged to Home with the attending physician being KERSON , RODNEY S , M.D. and code status being Full code. She was prescribed FESO4 ( FERROUS SULFATE ) 300 MG PO BID, FOLATE ( FOLIC ACID ) 1 MG ... | Has this patient ever been prescribed prilosec ( omeprazole ) | {
"answer_end": [
573
],
"answer_start": [
537
],
"text": [
"PRILOSEC ( OMEPRAZOLE ) 20 MG PO QD,"
]
} | 1,014 |
The patient is a 76-year-old female with a history of mitral regurgitation, congestive heart failure, recurrent UTIs, and uterine prolapse who presented with chills and hypotension and was admitted to the Medical ICU for treatment of septic shock. Mean arterial pressures were kept above 65 with Levophed and antibiotics... | Has the patient taken any medications for uti. management | {
"answer_end": [
878
],
"answer_start": [
802
],
"text": [
"Levofloxacin and Vancomycin to treat Gram-positive cocci bacteremia and UTI."
]
} | 655 |
Patient Isaac Vanover, Jr., a 44-year-old man with a history of CAD s/p MI x2 4/14 with PCI, in stent thrombosis, and re-stenting, was admitted multiple times for CP with associated fatigue and SOB. He was placed on ECASA (Aspirin Enteric Coated) 325 MG PO QD, COLACE (Docusate Sodium) 100 MG PO BID PRN constipation, EN... | Has the patient ever tried lasix | {
"answer_end": [
1300
],
"answer_start": [
1265
],
"text": [
"Lasix to keep I/O's 500-1000cc neg."
]
} | 604 |
The patient is a 50 year old man with unstable angina who was referred to the Rhalca Medical Center for cardiac catheterization and coronary artery bypass grafting. He had a four-year history of coronary artery disease and described episodes of chest pain occurring approximately q. two months as well as evidence of sho... | Has the patient had multiple colace prescriptions | {
"answer_end": [
2101
],
"answer_start": [
2081
],
"text": [
"Colace 100mg t.i.d.,"
]
} | 611 |
Mr. Zack Nieman is a 62-year-old white man with ischemic cardiomyopathy, status post coronary artery bypass graft in 1985 with left internal mammary artery to left anterior descending, saphenous vein graft to posterior descending artery, saphenous vein graft to obtuse marginal branch, and a repeat coronary artery bypas... | has the patient used troglipazone in the past | {
"answer_end": [
2300
],
"answer_start": [
2220
],
"text": [
"isosorbide, mononitrate-SR 30 mg p.o. q.d., and troglipazone 400 mg p.o. q. day."
]
} | 677 |
This 66-year-old male with a history of CAD, MI, CABG, and PCI was admitted with chest pain and ongoing risk factors. His enzyme on presentation was negative and EKG showed nonspecific T wave flat in II, III and V2-V3. In the ED, he had a BP of 86/118 and was given NITROGLYCERIN 1/150 (0.4 mg) SL q5min x 3 with no reli... | has the patient used hep. in the past | {
"answer_end": [
1018
],
"answer_start": [
968
],
"text": [
"to take PPI for GERD and a PPI and SC Hep for ppx."
]
} | 496 |
Mrs. Wetterauer is a 54-year-old female with coronary artery disease status post inferior myocardial infarction in March of 1997, with sick sinus syndrome, status post permanent pacemaker placement, and paroxysmal atrial fibrillation controlled with amiodarone; also with history of diabetes mellitus and hypertension. O... | What a full panic attack medications have ever been prescribed for pt. in the VA or mentioned in the record | {
"answer_end": [
2722
],
"answer_start": [
2679
],
"text": [
"the patient was treated acutely with Ativan"
]
} | 999 |
The patient had continued to remain stable from an ischemia standpoint and a beta-blocker was added back to his regimen and was titrated to a dose of Lopressor 12.5 mg p.o. t.i.d. He continues on aspirin and statin, and he also continues on Isordil 20 mg p.o. t.i.d. and hydralazine 50 mg p.o. t.i.d. for after load redu... | What was the dosage prescribed of lipitor | {
"answer_end": [
1173
],
"answer_start": [
1149
],
"text": [
"Lipitor 80 mg p.o. q.d.,"
]
} | 580 |
This 66-year-old male with a history of CAD, MI, CABG, and PCI was admitted with chest pain and ongoing risk factors. His enzyme on presentation was negative and EKG showed nonspecific T wave flat in II, III and V2-V3. In the ED, he had a BP of 86/118 and was given NITROGLYCERIN 1/150 (0.4 mg) SL q5min x 3 with no reli... | Has this patient ever been on isosorbide dinitrate | {
"answer_end": [
605
],
"answer_start": [
553
],
"text": [
"ISOSORBIDE DINITRATE 30 mg PO TID (hold if sbp<100),"
]
} | 496 |
Patient Damion Prehn, a 60 year old male with coronary artery disease, hypertension, and hyperlipidemia, was admitted with increasing shortness of breath and intermediate MIBI as an outpatient in the setting of significant deconditioning and multiple cardiac risk factors. In the ED, his temperature was 98.6, his pulse ... | Has the patient ever tried atenolol | {
"answer_end": [
735
],
"answer_start": [
692
],
"text": [
"He was started on Atenolol 125 mg PO daily,"
]
} | 868 |
The 43 year old male patient presented with atypical chest pain radiating to the left arm, diaphoresis, nausea, and mild shortness of breath. An EKG with T-wave inversion (TWI) concerning for anterolateral ischemia was also noted, and a Troponin I at ASH was negative (0.04 and 0.05) but the pain persisted, requiring a ... | Has the patient had hydralazine in the past | {
"answer_end": [
986
],
"answer_start": [
893
],
"text": [
"The patient remained chest pain free overnight and the NTG drip was tapered, with hydralazine"
]
} | 431 |
A 63 year old male with a history of diabetes mellitus (DM), hypertension (HTN), obesity, and hyperlipidemia presented with chest pain two days ago and a four week history of chronic productive cough, rhinorrhea, and a sensation of nasal discharge down the back of the throat. Labs showed a normal chemical seven, CBC, a... | What is the current dose of the patient's humalog insulin ( insulin lispro ) | {
"answer_end": [
576
],
"answer_start": [
528
],
"text": [
"Humalog Insulin (Insulin Lispro) 12 units SC AC,"
]
} | 479 |
Marcelo Walts was admitted to the medical service for a CHF exacerbation and was given ECASA (Aspirin Enteric Coated) 325 mg PO QD, Captopril 12.5 mg PO TID with a potential serious interaction with Potassium Chloride, Lasix (Furosemide) 40 mg PO TID, Levoxyl (Levothyroxine Sodium) 100 mcg PO QD, Nitroglycerin 1/150 (0... | chest pain meds on in past | {
"answer_end": [
379
],
"answer_start": [
298
],
"text": [
"Nitroglycerin 1/150 (0.4 mg) 1 tab SL Q5 min x 3 PRN Chest Pain HOLD IF: SBP<[ ],"
]
} | 433 |
Logan Czaplinski, an 833-08-42-8 patient, was admitted on 1/27/2001 and discharged on 5/18/2001 to his home with a prescription of ASA (Acetylsalicylic Acid) 81 MG PO QD, Allopurinol 300 MG PO QD, Digoxin 0.25 MG PO QD, Folic Acid 1 MG PO QD, Lasix (Furosemide) 80 MG PO BID, Ativan (Lorazepam) 1 MG PO BID PRN anxiety o... | What medications have been previously used for the treatment of insomnia | {
"answer_end": [
331
],
"answer_start": [
276
],
"text": [
"Ativan (Lorazepam) 1 MG PO BID PRN anxiety or insomnia,"
]
} | 702 |
This is a 72 year old black female with a history of hypertension, angina, adult onset diabetes, and recurrent syncopal events who was treated with Dilantin for less than a year in 1970 and her last episode was in 1989. She was given Nitro Paste and 1 amp of D50 when she experienced a syncopal event on the morning of a... | has the patient had aspirin | {
"answer_end": [
430
],
"answer_start": [
370
],
"text": [
"Her medications on admission include aspirin one tablet q d,"
]
} | 456 |
A 56-year-old morbidly obese female with abdominal skin laxity due to massive weight loss after gastric bypass was admitted to plastics for panniculectomy. The patient tolerated the procedure without difficulty and the post-operative period has been uneventful. At discharge, the patient is afebrile with stable vitals, ... | Has a patient had keflex ( cephalexin ) | {
"answer_end": [
1034
],
"answer_start": [
1000
],
"text": [
"KEFLEX (Cephalexin) 500 mg PO QID,"
]
} | 532 |
Ms. Pall is a 72-year-old female patient with multiple chronic medical problems, including Coronary Artery Disease, CHF, Hypertension, Diabetes Mellitus Type 2, Chronic Kidney Disease, Hypocalcemia, Colon Cancer, Osteoarthritis, and Chronic Anemia. She recently sustained a tib/fib fracture due to a scooter accident in ... | Has patient ever been prescribed nexium ( esomeprazole ) | {
"answer_end": [
659
],
"answer_start": [
623
],
"text": [
"Nexium (Esomeprazole) 40mg PO daily,"
]
} | 730 |
The patient is a 36-year-old G16, P0-0-15-0, who presented at 6 and 4/7 weeks by LMP consistent with ultrasound of the day of admission, as a transfer from the High-Risk Obstetric Clinic, admitted to the Fuller Antepartum Service for diabetic control. She had a history of pre-gestational diabetes, coronary artery disea... | Has a patient had lantus | {
"answer_end": [
719
],
"answer_start": [
615
],
"text": [
"On the day of admission, the patient was on a Humalog 7 units b.i.d. and Lantus 12 units in the evening,"
]
} | 762 |
A 79-year-old male with history of non-insulin dependent diabetes, coronary artery disease, congestive heart failure, hypertension, chronic renal failure, and left toe amputation on 7/1/06 was admitted for debridement and antibiotics. An MRA on 10/3/06 demonstrated on the right a multifocal high-grade stenosis of the p... | Has the patient ever had insulin | {
"answer_end": [
2434
],
"answer_start": [
2379
],
"text": [
"Prandin and insulin sliding scale for glycemic control."
]
} | 973 |
The 65-year-old female patient with a history of hypertension, hypercholesterolemia, non-insulin-dependent diabetes mellitus, and no known hx of CAD was admitted with chest pain. On November 1997, an exercise treadmill test revealed a maximal heart rate of 127 and maximal blood pressure of 134/80, with 1 millimeter of ... | Is there a mention of of enteric-coated aspirin usage/prescription in the record | {
"answer_end": [
1687
],
"answer_start": [
1579
],
"text": [
"albuterol inhaler 2 puffs q.i.d. as needed for shortness of breath, enteric-coated aspirin 325 mg p.o. q.d.,"
]
} | 577 |
This 66-year-old male with a history of CAD, MI, CABG, and PCI was admitted with chest pain and ongoing risk factors. His enzyme on presentation was negative and EKG showed nonspecific T wave flat in II, III and V2-V3. In the ED, he had a BP of 86/118 and was given NITROGLYCERIN 1/150 (0.4 mg) SL q5min x 3 with no reli... | Is there history of use of metformin | {
"answer_end": [
823
],
"answer_start": [
728
],
"text": [
"Metformin 500 mg PO BID, Micronase 10 mg PO BID, Tylenol with Codeine PRN, and Ativan 5 mg PRN."
]
} | 496 |
This 54-year-old female with end-stage renal disease on hemodialysis had an apparent VFib arrest at hemodialysis and was admitted to the CCU after being intubated in the Vibay General Hospital ED. She was intubated, received amiodarone and dopamine, as her BP was low. An x-ray revealed diffuse bilateral opacities, poss... | How often does the patient take amitriptyline | {
"answer_end": [
980
],
"answer_start": [
939
],
"text": [
"enteric-coated aspirin 325 mg p.o. daily,"
]
} | 619 |
This 79 year old male was admitted to OCMC on 8/9/05 with a 1 cm left renal stone that had caused left hip and flank pain with nausea and vomiting. His cardiologist, Dr. Cannizzo, was consulted and Coumadin was held for the operation. It was originally planned to reverse INR with FFP, but the patient felt throat tightn... | Has this patient ever been prescribed narcotics. | {
"answer_end": [
1733
],
"answer_start": [
1703
],
"text": [
"no driving while on narcotics,"
]
} | 583 |
Rufus Leanard, a 55-year-old female, was admitted to Hend Ratal/creek Hospital with chest pain on exertion and underwent NSTEMI by enzymes peaking on 8/21/04 with CK 381 and TNI 0.18. She was transferred to Woduatesit General Hospital for catheterization and possible CABG, with her medical history including hypertensio... | Has a patient had simvastatin | {
"answer_end": [
2468
],
"answer_start": [
2423
],
"text": [
"simvastatin 20 mg q.h.s., K-Dur 30 mEq b.i.d."
]
} | 967 |
The patient is a 70-year-old woman with a history of Congestive Heart Failure due to diastolic dysfunction, Crohn's colitis, right breast carcinoma, diabetes mellitus, obstructive sleep apnea, gastroesophageal reflux disease, hypercholesterolemia, and osteoarthritis. She was admitted with volume overload for diuresis, ... | Has a patient had suprax | {
"answer_end": [
1679
],
"answer_start": [
1608
],
"text": [
"potassium chloride 20 mEq p.o. b.i.d., Suprax 400 mg p.o. q.d. x4 days,"
]
} | 942 |
Mr. Slunaker is a 56-year-old gentleman who underwent coronary artery bypass grafting x4 and was discharged to home in stable condition on 10/20/06. He presented to see Dr. Emory Bebeau in clinic with a warm and swollen left lower leg with redness and was placed on levofloxacin and vancomycin and had him admitted for l... | Has a patient had diflucan | {
"answer_end": [
1158
],
"answer_start": [
1082
],
"text": [
"Zetia 10 mg daily, Tricor 145 mg nightly, Diflucan 200 mg daily for one dose"
]
} | 518 |
The patient is a 76-year-old female with a history of mitral regurgitation, congestive heart failure, recurrent UTIs, and uterine prolapse who presented with chills and hypotension and was admitted to the Medical ICU for treatment of septic shock. Mean arterial pressures were kept above 65 with Levophed and antibiotics... | Has this patient ever tried caltrate plus d2 tablets | {
"answer_end": [
2086
],
"answer_start": [
2029
],
"text": [
"Caltrate plus D2 tablets p.o. daily, Lipitor 10 mg daily,"
]
} | 655 |
Mr. Royce Meidlinger is a 78-year-old male who was admitted on 11/12/05 with ADMISSION MEDICATIONS including Atenolol 25 mg daily, allopurinol 300 mg daily, and Flomax 0.8 mg daily. Cardiovascularly, he was on aspirin and had a pacemaker for sick sinus and was saturating well on 2 liters of oxygen delivered by Dobbhoff... | has the patient used dopamine. in the past | {
"answer_end": [
573
],
"answer_start": [
500
],
"text": [
"here was a postoperative increase in creatinine requiring dopamine 2 mcg,"
]
} | 403 |
Mr. Quigg is a 42-year-old man with history of diabetes, end-stage renal disease on hemodialysis, left Charcot foot complicated by recurrent cellulitis who presented with left lower leg swelling, erythema, and pain. On admission, his temperature was 100.8, heart rate was 111, and blood pressure was 140/70. His left low... | What medications has this patient tried for phantom limb pain. | {
"answer_end": [
1919
],
"answer_start": [
1877
],
"text": [
"He was initially placed on a ketamine drip"
]
} | 600 |
This is a 47-year-old female with a history of HIV, diabetes, questionable cerebral aneurysm, and seizure disorder who recently had two syncopal events without prodrome and without postictal state, who presented for evaluation of left arm paresthesias and chest pain, with associated diaphoresis, shortness of breath and... | Has this patient ever been on flexeril | {
"answer_end": [
407
],
"answer_start": [
338
],
"text": [
"the patient recently started Flexeril to treat chronic low back pain,"
]
} | 611 |
This is a 69 year-old woman with a history of congestive heart failure and hypertension who presented with a productive cough which was worsening over the past 3-4 days and fever to 101 with chills and shakes and increasing shortness of breath. She had a white blood cell count of 9.3 with 54% polys and 9.6 % eosinophil... | What medications has patient been on for cough in the past | {
"answer_end": [
718
],
"answer_start": [
653
],
"text": [
"She was started on intravenous Cefuroxime, and initially improved"
]
} | 651 |
The patient was admitted on 4/20/2006 with an Altered Mental Status. A team meeting was held on 3/25/06 and the patient was started on 250 mg b.i.d. of Depakote and Haldol was reduced to just Monday-Wednesday-Friday 1 mg before hemodialysis and 1 mg p.r.n. agitation. On 0/16/06, the patient was diagnosed with pneumonia... | Is there a mention of of cefpodoxime usage/prescription in the record | {
"answer_end": [
422
],
"answer_start": [
385
],
"text": [
"cefpodoxime and Flagyl for discharge."
]
} | 733 |
A 43 year old female with metastatic tall cell papillary cancer to bilateral IJ nodes, who had undergone RAI, left paratracheal and modified radial neck dissection, and a total thyroidectomy in 1/24, was admitted to the hospital. During her hospital stay, she was started on ROCALTROL (CALCITRIOL) 0.5 MCG PO BID, CALCIU... | Has the pt. ever been on oral medications before | {
"answer_end": [
624
],
"answer_start": [
553
],
"text": [
"Her diet was advanced and pain was well controlled on oral medications."
]
} | 382 |
Ms. Dozois is a 64-year-old female admitted to MICU on 2/19/2005 for neutropenia, nausea, vomiting, abdominal pain, and shortness of breath, requiring intubation and pressors. Her medical problems included severe COPD (on home O2 2 liters baseline sat below 90s), nonsmall cell lung cancer (diagnosed in 1999, status pos... | What medications, if any, has the patient tried for her hematocrit in the past | {
"answer_end": [
874
],
"answer_start": [
805
],
"text": [
"She had thrombocytopenia and required multiple red blood transfusions"
]
} | 906 |
Justin Eans, a 56 year old patient with a history of DM, HTN, hypertryglyceridemia and depression, was admitted to the medical service on 11/4/2004 with 2-day h/o increasing abdominal girth, 1-day h/o shortness of breath, pleuritic CP and an increase in nocturia from 2x to 6x. He was given i.v. Lasix for presumed CHF, ... | Has this patient ever tried atenolol | {
"answer_end": [
439
],
"answer_start": [
417
],
"text": [
"Atenolol 100 mg PO QD,"
]
} | 686 |
Everett LLOPIS was a 63-year-old male admitted on 1/6/2001 with a history of CAD, MI, s/p CABGx4, h/o PE, h/o CVA on coumadin, NIDDM and h/o recent pneumonia (6/14) who presented with intermittent epigastric pain associated with nausea, diaphoresis and SOB x 2 days which he noted as his anginal equivalent. Labs were no... | What is the current dose of atenolol | {
"answer_end": [
1526
],
"answer_start": [
1505
],
"text": [
"Atenolol 50 mg PO QD,"
]
} | 705 |
This 54-year-old female patient with a history of pulmonary emboli in 1971 and 1988 presented with four days of pleuritic chest pain and left arm heaviness. Her past medical history includes dysfunctional uterine bleeding, iron deficiency anemia, lumbosacral disc disease, and a status post laminectomy three times. In J... | Has the patient taken any medications for the discomfort management | {
"answer_end": [
512
],
"answer_start": [
480
],
"text": [
" was unrelieved with two Advils."
]
} | 386 |
A 57 year old woman with multiple cardiac risk factors presented with substernal chest pain relieved by two sublingual nitroglycerins, nausea, and an acid taste. She was ruled out for myocardial infarction by enzyme sets respectively, with no change in EKGs. Her physical examination was afebrile with a blood pressure o... | Did the patient ever take any medication for her diabetes mellitus in the past | {
"answer_end": [
681
],
"answer_start": [
629
],
"text": [
"She was continued on Glucotrol for diabetes mellitus"
]
} | 338 |
The 68-year-old female patient presented with lower extremity swelling and erythema at the lower pole of her sternal wound, and her past medical history includes hypertension, diabetes, hypothyroidism, hypercholesterolemia, COPD, GERD, depression, history of GI bleed on Coumadin therapy, and pulmonary hypertension. On ... | atrial fibrillation meds on in past | {
"answer_end": [
1267
],
"answer_start": [
1188
],
"text": [
"Her preadmission cardiac meds, as well as her Coumadin for atrial fibrillation,"
]
} | 809 |
Patient Mariano Librizzi was admitted on 4/21/2005 with a viral infection and severe pulmonary hypertension, and discharged on 9/22/2005 to go home. The discharge medications included ECASA (Aspirin Enteric Coated) 81 MG PO QD, with a potentially serious interaction with Warfarin & Aspirin, COLACE (Docusate Sodium) 100... | Has a patient had coumadin | {
"answer_end": [
1046
],
"answer_start": [
1031
],
"text": [
"Coumadin 5/7.5,"
]
} | 712 |
This is a 46-year-old morbidly obese female with a history of insulin-dependent diabetes mellitus complicated by BKA on two prior occasions, who was admitted to the MICU with BKA, urosepsis, and a non-Q-wave MI. On presentation to the Emergency Department, her vital signs were notable for a blood pressure of 189/92, pu... | has there been a prior valium | {
"answer_end": [
2060
],
"answer_start": [
2026
],
"text": [
"including amitriptyline, Flexeril,"
]
} | 815 |
A 69-year-old female with a history of coronary disease status post prior myocardial infarction and surgery in 2002 presented to R.healt Medical Center Emergency Department on 10/9/05 with three days of chest pain and shortness of breath. Of note, she had been noncompliant with prior regimens and treatments and despite... | Has the patient had diuretics in the past | {
"answer_end": [
379
],
"answer_start": [
321
],
"text": [
"diuretics started three days by her primary care physician"
]
} | 318 |
Patient KOMLOS, COLEMAN 223-66-98-9 was admitted on 10/26/2000 and discharged on 9/4 AT 04:00 PM to Home w/ services with a code status of Full code. A 78F with HTN, PAFon amiodarone, MS s/p MVR on coumadin, and ?CAD/IMI with clean coronaries on cath '91, presented with two episodes of ?syncope. The patient had 2.1 CXR... | Is there a mention of of lasix ( furosemide ) usage/prescription in the record | {
"answer_end": [
538
],
"answer_start": [
506
],
"text": [
"LASIX (FUROSEMIDE) 80 MG PO BID,"
]
} | 759 |
Mr. Wolfinbarger is a 55 year old male with Coronary Artery Disease who was admitted to Enreen Dallout Medical Center for cardiac catheterization. His Past Medical History includes non-Hodgkin's lymphoma, status bone marrow transplant and chemotherapy in 1992 and 1993; history of hypercholesterolemia, hypertension, ins... | Why did the patient need diltiazem | {
"answer_end": [
1242
],
"answer_start": [
1139
],
"text": [
"Postoperatively, he had an episode of rapid atrial flutter and was chemically converted to sinus rhythm"
]
} | 460 |
The patient is a 40 year old female with a history of cholelithiasis who was recently discharged from Asce Medical Center after an incisional hernia repair. She soon after noted onset of right upper quadrant pain, vomiting, and fever and was readmitted with an ultrasound showing two 8-9 mm gallstones in the right upper... | Has the pt. ever been on antibiotics before | {
"answer_end": [
417
],
"answer_start": [
352
],
"text": [
"intravenous antibiotics but deferred surgery at that time and was"
]
} | 295 |
This 57 year old female presented with a progressive right first toe wound for two months and was admitted to the vascular surgical service where she was placed on triple antibiotics and dressing changes. Her laboratory exams were within normal limits, her EKG was normal sinus rhythm, her AVI was 0.60 and 0.59 at the P... | Has the patient had multivitamin in the past | {
"answer_end": [
1090
],
"answer_start": [
1028
],
"text": [
"multivitamin one tablet p.o. q d, Pravachol 60 mg p.o. q h.s.,"
]
} | 326 |
The patient is a 54-year-old man with nonischemic dilated cardiomyopathy who presents with weight gain, weakness, and azotemia. He was admitted with decompensated heart failure and was treated with dobutamine, seretide, and diuretics with good effect, functioning on ACE inhibitor. Two weeks prior to presentation, Digox... | Has a patient had flagyl | {
"answer_end": [
1443
],
"answer_start": [
1392
],
"text": [
"Flagyl, and Diflucan for complicated osteomyelitis,"
]
} | 556 |
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