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[ "1", "เดือนก่อน", "มา", "รพ.", "เริ่ม", "เหนื่อย", "ง่าย", "มากขึ้น", "เวลา", "เดิน", "ขึ้น", "บันได", "กิน", "ได้", "ลดลง" ]
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[ "CT", "chest", "(24/6/63)" ]
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201
[ "•", "Moderate", "to", "marked", "right", "pleural", "effusion" ]
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202
[ "•", "Decreased", "area", "of", "low", "density", "within", "right", "lower", "lobe", "atelectatsis" ]
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203
[ "•", "Scattering", "interstitial", "infiltration", "and", "ground", "glass", "opacities", "both", "lungs" ]
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204
[ "consult", "chest", "->", "admit", "for", "ICD", "+-", "pleurodesis" ]
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205
[ "Vital", "signs" ]
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206
[ "Respiratory", "rate:16", "/min" ]
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207
[ "Oxygen", "saturation:100", "%" ]
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208
[ "Breathing", ":", "Room", "air" ]
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209
[ "Mental", "orientations", ":", "Time,", "Place,", "Person" ]
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210
[ "Physical", "examinations" ]
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211
[ "General", "appearance", ":" ]
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212
[ "Alert", ",", "good", "consciousness", ",", "not", "pale", ",", "no", "jaundice" ]
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213
[ "Eye", "ENT", ":", "Normal" ]
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214
[ "Trachea", "in", "midline" ]
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215
[ "Dullness", "on", "percussion", "total", "Rt.Lung" ]
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216
[ "Decreased", "breath", "sounds", "Rt.lung" ]
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[ "Nervous", "system", ":", "Normal" ]
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[ "Lymph", "nodes", ":", "Normal" ]
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[ "Pertinent", "investigation", ":" ]
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[ "CT", "chest", "-", "Massive", "right", "pleural", "effusion" ]
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[ "History", "of", "present", "illness", ":", "ผู้ป่วย", "หญิง", "ไทย", "คู่", "อายุ", "68", "ปี", "Known", "case", "1.", "T2DM", "-", "last", "HbA1C", "15/6/63", ":", "8.0", "-", "No", "DR", "2.", "Hypertension", "-", "Baseline", "BP", "100-110/50-60", "m...
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[ "วันนี้", "ไม่", "ปวดท้อง", "มี", "อาการ", "ตัวเหลือง", "ตาเหลือง", "คัน", "ตาม", "ผิวหนัง", "เล็กน้อย", "ไม่", "มีไข้", "no", "post-op", "complication" ]
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[ "diagnosis", ":", "malignant", "distal", "CBD", "stricture", "with", "duodenal", "invasion", "s/p", "UCSEMS", "biliary", "stent", "insertion" ]
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[ "4.16", "cmx", "3.15", "cm", "heterogenous", "hypoecoic", "mass", "at", "pancreatic", "head", "to", "uncinate", "with", "locally", "advance", "ca", "pancreas", "s/p", "FNB" ]
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[ "5", "สัปดาห์", "ก่อน", "มา", "รพ.", "ผู้ป่วย", "แน่นท้อง", "ท้อง", "โต", "มากขึ้น" ]
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[ "3", "วันก่อน", "มา", "รพ.", "ผู้ป่วย", "มี", "อาการ", "ตา", "ตัวเหลือง", "มากขึ้น", "ปัสสาวะ", "สีเข้ม", "ขึ้น", "ไม่", "มี", "ฟอง", "ไม่", "มี", "สีน้ำ", "ล้าง", "เนื้อ", "อุจจาระ", "ปกติ", "และ", "ยังมี", "อา", "การบวม", "ที่", "ขา", "2", " ", "ข้าง",...
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[ "ชาย", "อายุ", "42", "yr", "1.chronic", "HBV", "infection", "HBc", "Ab-positive", ",", "on", "lamivudine", "(100)", "1x1", "po", "pc" ]
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[ "2.CKD", "stage", "III", ",", "Cr", "baseline", "-", "1.4" ]
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[ "3.Refractory", "DLBCL", "stage", "IV", "(", "lt.", "kidney", ",", "rt", "pleural", "effusion", ")", "ECOG1", ",", "aIPI=2", "06/62", "present", "wtih", "lt.flank", "pain", "รักษา", "ที่", "รพ.", ">", "CT", "WA", "(17/6/62)-", "lt.", "renal", "mass", "size...
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[ "S/P", "BM", "study", "(15/7/62)-", "negative" ]
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[ "TTE", "(24/7/62)-", "LVEF", "66%", "25/7/62", "หายใจ", "หอบ", "เหนื่อย", "มากขึ้น", "CXR-", "massive", "rt.", "pleural", "effusion", "-->", "cytology", ":", "negative", "for", "malignancy" ]
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[ "CT", "chest+WA", "(25/7/62)", "-", "Rt.", "pleural", "effusion", "with", "atelectasis", "rt.", "lung", "and", "shift", "mediastinum", "-rt.upper", "paratracheal", "LN", "0.8", "cm,", "precarinal", "node", "1.1", "cm,", "-lt", "kidney", "size", "5.7", "x", "5"...
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[ "S/P", "salvage", "with", "ICE", "regimen", "x4", "cycles", "last", "C4D1", "=12/5/63" ]
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[ "12/5/63", "refer", "มา", "รพ.", "for", "Autologous", "HSCT", "CT", "chest+", "WA", "นอก", "(19/5/63)", "-", "lt.", "renal", "mass", "2.4x", "2.4x7.3", "cm", "(", "slight", "decrease", "diffuse", "thickening", "at", "lt", "renal", "pelvis", "and", "perinephr...
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[ "S/P", "salvage", "GDP", "D1", "(16/6/63)" ]
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[ "plan", "admit", "28/6/63", "(D13)", "for", "autologous", "HSCT" ]
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[ "Known", "case", "1.HT", "2.", "Thymoma", "presented", "with", "Progressive", "dyspnea", "12/62", "CT", "chest", "7/12/62", ":", "RML", "mass", "12.3x10.5x9.6", "cm", "well-define", "lobulated", "heterogenous", "enhancing", "mass", "with", "central", "necrosis", "...
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[ "Bone", "scan", "27/12/62", ":", "normal" ]
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[ "MRI", "brain", "27/12/62", ":no", "metastatic" ]
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[ "Imp", "CA", "lung", "with", "pleural", "metastasis", "ได้", "Placitaxel+Carboplatin", "16/1/63" ]
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[ "Review", "patho", "2/1/63", ":", "immunostain", "+ve", "with", "AE1/AE3", ",", "CK7", ",", "CK20", ",", "TTF1", ",", "Synaptophysin", ",", "Chromogranin", "A", "-ve", "DDx", "include", "Thymoma", "type", "AB" ]
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[ "MUGA", "scan", "19/2/63", ":", "Normal", "left", "ventricular", "function", "with", "baseline", "resting", "calculated", "LVEF", "of", "62%" ]
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[ "CT", "chest", "24/4/63", ":", "a", "large", "heteroeneous", "mass", "at", "right", "sides", "anterior", "mediastinum", "12x10.2cm", "with", "internal", "calcification", "with", "minimal", "right", "effusion", "suspicious", "of", "pleural", "metastasis", ",", "mat...
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[ "วันนี้", "นัด", "มา", "ให้", " ", "CMT", "ตาม", "นัด" ]
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[ "Known", "case", "Mixed", "well-differentiated", "adenocarcinoma", "and", "small", "cell", "tumor", "at", "cervix", "stage", "Ib1", "S/P", "radical", "hysterectomy", "with", "pelvic", "node", "resection", "with", "BSO", "and", "CMT", "(", "Cisplatin", "+", "Etop...
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[ "F/U", "CT", "whole", "abdomen", "(16/3/63)", ":", "circumferential", "bowel", "wall", "thickening", "at", "sigmoid", "colon", "with", "pericolic", "fat", "stranding", "and", "multiple", "small", "pericolic", "lymph", "nodes", "enlargement", "with", "liver", "meta...
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[ "Colonoscopic", "findings", "(31/3/63)", ":", "100%", "circumferential", "ulceroproliferative", "mass", "with", "near", "complete", "obstruction", "at", "sigmoid", "colon" ]
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[ "Patho", ":", "well-differentiated", "adenocarcinoma" ]
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[ "ทาง", "รพ.", "เดิม", "refer", "กลับมา", "เพื่อ", "รักษา", "ต่อเนื่อง" ]
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[ "Admit", "for", "continue", "FOLFOX", "C6", "ระหว่าง", "รอ", "ปรึกษา", "ทาง", "ศัลยกรรม", "for", "surgery" ]
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[ "ไม่", "มี", "ถ่าย", "เป็น", "มูกเลือด", "ไม่", "มีไข้", "กิน", "ได้", "ปกติ" ]
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[ "Respiratory", "rate", ":", "16", "/min" ]
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[ "Mental", "evaluation", ":", "Awake" ]
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[ "Mental", "orientations", ":", "Time,", "Place,", "Person" ]
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[ "Level", "of", "consciousness", ":", "Appropriate" ]
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[ "General", "appearance", ":" ]
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[ "Alert", ",", "good", "consciousness", ",", "not", "pale", ",", "no", "jaundice" ]
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[ "Eye", "ENT", ":", "Normal" ]
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[ "Low", "transverse", "old", "surgical", "scar" ]
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[ "soft", ",", "no", "tenderness", ",", "no", "palpable", "mass" ]
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[ "liver", "and", "spleen", "-", "not", "palpable" ]
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[ "Nervous", "system", ":", "Normal" ]
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[ "Lymph", "nodes", ":", "Normal" ]
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[ "Known", "case", "advanced", "stage", "CA", "stomach" ]
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268
[ "S/P", "total", "gastrectomy", ",", "Rt.hemicolectomy", ",", "lymph", "node", "dissection", ",", "splenectomy", "and", "distal", "pancreatectomy", "ปี", "61" ]
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[ "present", "with", "progressive", "mechanical", "dysphagia", ",", "odynophagia", ",", "abdominal", "pain", ",", "significant", "weight", "loss", "(80>72,", "8", "kg", "in", "9", "mo.)" ]
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[ "Hx", "chronic", "smoking", "and", "alcohol", "drinking", "(quit", "all", "already)" ]
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[ "EGD", "(25/6/61)", ":", "linitis", "plastica" ]
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[ "Patho", ":", "poorly", "differentiated", "adenocarcinoma" ]
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[ "S/P", "FOLFOX", "x", "4", "cycles", "ปี", "61", "->", "ไม่", "ครบ", "เนื่องจาก", "ทน", " ", "Side", " ", "effects", " ", "ไม่", "ไหว" ]
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[ "F", "/U", " ", "ต่อเนื่อง", "ตลอด" ]
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275
[ "EGD", "(5/10/62)", ":", "no", "evidence", "of", "recurrent", "mass", ",", "patent", "EJ", "junction" ]
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[ "CTWA", "ม.ค.", "63", ":", "no", "evidence", "of", "recurrent", "mass" ]
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277
[ "CTWA", "(23/5/63)", "Evidence", "of", "tumor", "seeding", "as", "described", ";" ]
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278
[ "•", "Enhanced", "nodular", "thickening", "at", "posterior", "and", "left", "side", "of", "urinary", "bladder", "wall" ]
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279
[ "Physical", "Examination" ]
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280
[ "General", "appearance", ":", "Alert", ",", "good", "consciousness", ",", "not", "pale", ",", "no", "jaundice" ]
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281
[ "Eye", "ENT", ":", "Normal" ]
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[ "Abdomen", ":", "old", "midline", "surgical", "scar" ]
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[ "Nervous", "system", ":", "Normal" ]
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[ "Lymph", "nodes", ":", "Normal" ]
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[ "Known", "case", "CA", "ascending", "colon", "with", "liver", "metastasis", "S/P", "Sx", "and", "CMT", ";", "FOLFOX", "x", "12", "cycles", "+", "RFA", "at", "Liver", "metastasis", "ปี", "2555" ]
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[ "Patho", ":", "Moderately", "differentiated", "adenocarcinoma" ]
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287
[ "EGD", "findings", "(23/6/63)", ":", "Diffused", "mild", "gastropathy" ]
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288
[ "Colono", "findings", "(23/6/63)", ":", "No", "evidence", "of", "recurrent", "tumor" ]
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[ "มา", "ตาม", "นัด", " ", "for", " ", "CMT", ",", "อาการ", "ปกติ", "ดี", "ไม่", "มีไข้", "ทาน", "ได้", "ปกติ" ]
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[ "Physical", "examination" ]
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291
[ "General", "appearance", ":", "Alert", ",", "good", "consciousness", ",", "not", "pale", ",", "no", "jaundice" ]
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[ "Eye", "ENT", ":", "Normal" ]
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[ "Abdomen", ":", "Old", "midline", "surgical", "scar", ",", "soft", ",", "not", "tender", ",", "no", "palpable", "mass" ]
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294
[ "Nervous", "system", ":", "Normal" ]
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295
[ "Lymph", "nodes", ":", "Normal" ]
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296
[ "•", "DLP", "on", "simvastatin", "(20)", "1x1", "po", "pc", "เย็น", ",", "F", "/U", " ", "ต่อเนื่อง", " ", "รพ." ]
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298
[ "2", "เดือนก่อน", "มา", "รพ.", "ญาติ", "สังเกตว่า", "ผอม", "ลง", "กิน", "ได้", "น้อยลง", "น้ำหนัก", "ลด", "6", "กก.", "ใน", "2", "เดือน", "(49->43", "กก.", "),", "no", "fever", "and", "cough" ]
[ 0, 0, 0, 0, 1, 2, 2, 2, 1, 2, 2, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 1 ]
299