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[ "ครั้งนี้", "มา", "รับ", "ยา", "เคมี", "บำบัด", "ตาม", "นัด", "phase", "II", "HR-Augmented", "consolidation", "Week8D50", "=", "29/6/63" ]
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600
[ "UD", "HT", ",", "DLP", ",", "IFG", "C", "f/u", "clinic" ]
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601
[ "-", "Present", "with", "Gut", "obstruction", "(1/61)" ]
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602
[ "Suspected", "CA", "lower", "descending", "colon", "(possibly", "mucinous", "CA", "),", "measured", "about", "4", "cm", "in", "length", "with", "high", "grade", "colonic", "obstruction", ".", "Adjacent", "peritoneal", "invasion", ",", "minimal", "pericolonic", "fluid", "and", "few", "tiny" ]
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603
[ "pericolonic", "lymph", "nodes", "are", "found.-", "No", "evidence", "of", "liver", "metastasis", ",", "distant", "lymph", "node", "metastasis", "or", "definite", "peritoneal", "nodule", "is", "seen.", "-", "A", "small", "liver", "cyst", "with", "bilateral", "renal", "cysts", "." ]
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604
[ "-", "Colonoscope", "(5/1/61)", "100%", "circumferential", "mass", "25", "cm", "from", "AV", "Can", "t", "pass", "scope", "(", "not", "complete", "colonoscope", ")" ]
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605
[ "S/P", ":", "Lt", "hemicolectomy", "with", "side", "to", "side", "anastomosis", "(", "5/1/61)" ]
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606
[ "CEA", "pre", "op", "38.5", "-->", "post", "op", "3.04" ]
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607
[ "-", "Colonoscopy", "(10/9/61)", ":", "one", "2", "mm", "polyp", "at", "cecal", "pole", "and", "one", "2", "mm", "polyp", "near", "anastomosis", "->", "bioopy", ":", "tubular", "adenoma", "with", "high", "grade", "dysplasia" ]
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608
[ "-", "CT", "chest", "with", "whole", "abdomen", "(11/1/62", ")", ":", "Suggested", "several", "pulmonary", "metastases", "at", "lateral", "segment", "of", "RML", ",", "posterior", "basal", "segment", "of", "RLL", ",", "and", "superior", "segment", "of", "LLL", "as", "described.", "A", "0.4-cm", "ground-glass", "pulmonary", "nodule", "at", "lateral", "basal", "segment", "of", "RLL", ".", "Multiple", "small", "subcentimeter", "lymph", "nodes", "at", "both", "supraclavicular", ",", "mediastinal", "and", "both", "hilar", "regions", "Patent", "colocolostomy", "anastomosis", "without", "recurrent", "tumor", ".", "No", "hepatic", "metastasis", "or", "abdominal", "adenopathy", ".", "Unchange", "of", "several", "small", "bilateral", "simple", "renal", "cysts", ".", "No", "significant", "change", "of", "a", "1.1", "cm", "milk", "of", "calcium", "cyst", "at", "lower", "pole", "of", "left", "kidney" ]
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609
[ "-", "Dx", "advanced", "stage", "CA", "colon", "with", "lung", "meatstasis", "(1/62)" ]
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610
[ "-", "ครั้งนั้น", "ผู้ป่วย", "ปฏิเสธ", " ", "CMT" ]
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611
[ "-", "F/U", "CT", "Chest", "20/4/62:", "Increase", "size", "of", "pulmonary", "nodule" ]
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612
[ "-", "3rd", "FOLFOX", "C3D1", "4/6/62", ":", "มี", "Pre-renal", "AKI", ",", "D/C1", "Cr.18" ]
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613
[ "CT", "chest+WA", "27/5/63", ":" ]
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614
[ "-", "Overall", "increased", "in", "sized", "of", "several", "pulmonary", "nodules", ",", "compatible", "with", "lung", "metastases" ]
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615
[ "-", "No", "evidence", "of", "new", "pulmonary", "nodule", "is", "seen." ]
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616
[ "-", "Enlarged", "pulmonary", "trunk" ]
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617
[ "-", "Cadiomegaly", "with", "mild", "ectatic", "change", "of", "aorta" ]
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618
[ "วันนี้", "มา", "รับ", "ยา", "เคมี", "บำบัด", "สูตร", "FOLFILI", "cycle", "ที่", "2", "D1=", "29/06/63", "อาการ", "ทั่วไป", "ปกติ", "ดี", "ไม่", "มี", "ไข้", "ไม่", "มี", "คลื่นไส้", "อาเจียน", "ไม่", "มี", "แผล", "ใน", "ปาก", "ปัสสาวะ", "ออ", "กด", "ี" ]
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619
[ "2.", "OA", "knee" ]
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620
[ "3.", "DM", "type", "2", ",", "HT" ]
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621
[ "4.", "urethral", "stricture" ]
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622
[ "Bed", "ridden", "3", "ปั", "หลังจาก", "ผ่า", "สะโพก", "ซ้าย", "แล้ว", "กายภาพ", "ได้", "ไม่", "นาน", "ก็", "เริ่ม", "นอน", "ติด", "เตียง", "ช่วยเหลือ", "ตัวเอง", "ได้", "น้อยลง", "เรื่อยๆ", "ล่าสุด", "ไม่", "พูด", "มองตาม", "ได้", "บ้าง", "ไม่", "ื", "ทำตาม", "สั่ง", "ขยับ", "แขน", "ซ้าย", "ได้", "มากกว่า", "แขนขวา", "เล็กน้อย", "ปาก", "เบี้ยว", "ด้าน", "ขวา", "เล็กน้อย" ]
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623
[ "2", "ปีก่อน", "สำลัก", "อาหาร", "บ่อย", "จึง", "ปรึกษา", "ทำ", "PEG", "เพื่อ", "feed", "Glucerna", "250", "mL", "x", "4", "feeds", "ให้", "ใน", "30-40", "นาที", "เสริม", "ด้วย", "อาหารเสริม", " ", "Amway" ]
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624
[ "ไม่", "มี", "แผล", "กด", "ทับ" ]
[ 0, 0, 1, 2, 2 ]
625
[ "24/5/63", "อาเจียน", "ท้องอืด", "จึง", "งด", "อาหาร", " ", "1", " ", "มื้อ" ]
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626
[ "25/5/63", "ดู", "ซึม", "ลง", "อาเจียน", "อีกครั้ง", "เสมหะ", "เหนียว", "ไอ", "จึง", "พา", "ไป", "รพ." ]
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627
[ "Admission", "25", "/5/63-", "ปัจจุบัน", "วินิจฉัย", "aspiration", "pneumonia" ]
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628
[ "ให้", "piperacillin/tazobactam", "(25/5/63-2/6/63),", "levofloxacin", "(2/6/63-", "ปัจจุบัน", ")", "ไม่", "มี", "ไข้", "ยัง", "ต้อง", "ใช้", "oxygen", "HFNC", "จึง", "ส่ง", "มา", "รพ." ]
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629
[ "History", "of", "past", "illness", ":" ]
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630
[ "Physical", "examination", ":", "Vital", "signs", ":", "T", ":", "36.9C", "P", ":", "66", "/min", "R", ":", "22", "/min", "BP", ":", "159", "/", "53", "mmHg" ]
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631
[ "Spo2", ":", "100", "%", "(as", "indicated)", "On", "O2", "30", "L/min", "via", "Canula" ]
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632
[ "Level", "of", "Consciousness", ":", "Drowsy", "Glassgow", "Coma", "Score", "(optional):" ]
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633
[ "System", "examination", ":", "Skin", ":", "Normal" ]
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634
[ "Nervous", "syst.", ":", "E1V1M4,", "pupils", "2", "mm", "BRTL" ]
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635
[ "Lymph", "nodes", ":", "None" ]
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636
[ "Rectal", "exam", ":", "-" ]
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637
[ "Pertinent", "investigation", ":", "TTE", "(28/5/63):", "Concentric", "LVH", ",", "good", "LV", "contraction", ",", "LVEF", "70%,", "no", "RWMA" ]
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638
[ "CXR", "(25/5/63):", "Increased", "patchy/nodular", "opacities", "at", "BLL", "R>L" ]
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639
[ "S/C", ":", "K.", "pneumoniae", ",", "P.", "aeruginosa" ]
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640
[ "Known", "case", "of", "DM", ",", "HT", "รักษา", "ที่", "คลินิก", "เอกชน", "ลูกสาว", "บอ", "กว่า", "มี", "ยากิน", "ควบคุม", "ความดัน", "และ", "ระดับ", "น้ำตาล", "ได้", "ด", "ี" ]
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641
[ "19-23/5/63", "Admit", "ที่", "รพ.", "ด้วย", "ไข้", "ไอ", "เหนื่อย", "CXR", "-", "total", "haziness", "Rt", "lung", ",", "sputum", " ", "เก็บ", "ไม่", "ได้", ",", "Covid", "PCR", "negative", ",", "H/C", "NG", "x", "I,", "Dx", "Severe", "CAP", "ได้", "Tazocin", "then", "switch", "to", "Cefditoren", "(200)", "1x2pc", "ก่อน", "ออกจาก", "รพ.", "เหนื่อย", "น้อยลง", "ไม่", "มี", "ไข้", "ไม่", "บวม" ]
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642
[ "หลัง", "กลับบ้าน", "ค่อยๆ", "เหนื่อย", "มากขึ้น", "เจ้าหน้าที่", "สาธารณสุข", "ท้องถิ่น", "ต้อง", "เอา", "Oxygen", "มา", "ให้", "ใช้", "แต่", "อาการ", "ไม่", "ดีขึ้น", "เหนื่อย", " ", "บวม", "นอน", "ไม่", "ได้", "จึง", "ไป", "คลินิก", "27/5/63", "แพทย์", "บอก", "น้ำท่วม", "ปอด", "ให้", "ยา", "ขับ", "ปัสสาวะ", "แต่", "อาการ", "ไม่", "ดีขึ้น" ]
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643
[ "30/5/63", "ไป", "รพ.", "ด้วย", "เหนื่อย", "มากขึ้น", "6", "ชั่วโมง", "นอน", "ราบ", "ไม่", "ได้", "แน่นหน้าอก", "กระวนกระวาย", "at", "ER", "T", "36.5,", "BP", "111/82,", "SpO2", "82%,", "Lungs", "poor", "air", "entry", ",", "Legs", "edema", "2+" ]
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644
[ "ได้", "ใส่", " ", "ETT", "ต่อมา", "มี", "Cardiac", "arrest", "at", "ER", "x", "2", "ครั้ง", "(", "PEA", ")", "ไม่", "ทราบ", "ระยะเวลา", "ได้", "start", "CPR", "และ", "ROSC", "หลัง", "ROSC", "ผู้ป่วย", "ตื่น", "ดี", " ", "ทำตาม", "สั่ง", "ได้", "มา", "ตลอด" ]
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645
[ "ABG", "post", "cardiac", "arrest", ":", "pH", "7.19,", "pCO2", "51.7,", "pO2", "87.8,", "O2", "Sat", "93%" ]
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646
[ "CXR", ":", "improvement", "of", "RL", "infiltration", ",", "marked", "cardiomegaly" ]
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647
[ "Echo", ":", "pericardial", "effusion", "+/-", "cardiac", "tamponade" ]
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648
[ "1.", "Pericardial", "effusion", "with", "Cardiac", "tamponade" ]
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649
[ "-", "Pericardiocentesis", "with", "PCD", "31/5/63", "ได้", "serosanguinous", "fluid", "800", "ml", "จากนั้น", "PCD", "content", "เป็น", "0", "x", "3", "วัน", "->", "Off", "PCD", "4/6/63" ]
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650
[ "-", "TTE", "2/6/63", "LVEF", "68%,", "no", "RWMA", ",", "concentric", "LVH", "(", "IVSD", "15", "mm),", "RA", "and", "RV", "dilated", ",", "moderate", "TR", "(RVSP", "51),", "other", "valves", "normal", ",", "no", "intracardiac", "clot/mas", "s,", "mild", "pericardial", "effusion", ",", "no", "cardiac", "tamponade" ]
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651
[ "-", "Pericardial", "effusion", ":", "WBC", "3,882", "(", "N", "59,", "L", "41),", "RBC", "1,990,000,", "protein", "5.7/6.4,", "LDH", "1056/674,", "ADA", "-", "pending,", "Hct", "18%" ]
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652
[ "-", "CXR", "cephalization", "BL", ",", "Rt", "pleural", "effusion" ]
[ 0, 1, 1, 2, 0, 1, 2, 2 ]
653
[ "-", "ระหว่าง", " ", "admit", "ช่วงแรก", "ไม่", "มี", "ไข้", " ", "ได้", "ATB", "Tazocin", "แต่", "ต่อมา", "1/6/63", "มีไข้", "ขึ้น", "จึง", "เปลี่ยน", " ", "ATB", "เป็น", "Meropenem" ]
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654
[ "-", "Sputum", "30/5/63", "G/S", "-", "no", "microorganism", ",", "Sputum", "C/S", "-", "normal", "flora", ",", "H/C", "-", "NG", "x", "II" ]
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655
[ "-", "Sputum", "AFB", "30,", "31/5/63", "-", "negative", "x", "II" ]
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656
[ "-", "Sputum", "C/S", "2/6/63", "-", "pending", ",", "H/C", "2/6/63", "-", "pending" ]
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657
[ "4.", "Lung", "nodule", "R/O", "CA", "lung", "with", "pericardial", "metastasis" ]
[ 0, 1, 2, 0, 1, 2, 0, 1, 2 ]
658
[ "-", "plan", "CT", "chest" ]
[ 0, 1, 1, 2 ]
659
[ "-", "urine", "output", "1,000-", "3,000", "ml/day" ]
[ 0, 1, 2, 0, 0, 0 ]
660
[ "ล่าสุด", "ไข้", "ลดลง", "ผู้ป่วย", "ตื่น", "ดี", "ทำตาม", "สั่ง", "สามารถ", "on", "PSV", "PS", "16", "ได้", "แต่", "ยัง", "เสมหะ", "เยอะ", "มี", "แรง", "ไอ", "ได้", "ด", "ี", "ขอ", "ส่งตัว", "มา", "รักษา", "ต่อ", "ตาม", "ความต้องการ", "ของ", "ญาติ" ]
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661
[ "CVS", "normal", "s1s2", "no", "murmur", ",", "PMI", "6th", "ICS", "AAL", ",", "JVP", "3.5cm" ]
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662
[ "Ext", "no", "pitting", "edema" ]
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663
[ "CXR", "cariomegaly", ",", "mild", "increased", "bronchovascular", "marking", "EKG", "sinus", "rhythm", "LVH", "by", "voltage", "TWI", "v4-6" ]
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664
[ "1.", "Hereditary", "spherocytosis", "Dx", "เมื่อ", "อายุ", "5", "ปี" ]
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665
[ "2.", "GERD", ":", "Severe", "erosive", "gastritis" ]
[ 0, 1, 0, 1, 2, 2 ]
666
[ "3.", "Relapsed", "and", "refractory", "Classical", "Hodgkin's", "lymphoma", "stage", "II", "S/P", "ASCT", "16/1/2560" ]
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667
[ "-", "1st", "Dx", ".", "พ.ค.", "58", "present", " ", "ด้วย", "ก้อน", "ที่", "คอ", "ขวา", "2", "เดือน" ]
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668
[ "-", "LN", "Bx", ":", "classical", "Hodkin's", "lymphoma" ]
[ 0, 1, 2, 0, 1, 2, 2 ]
669
[ "-", "PET", "scan", "(27/10/58):", "Hodgkin's", "lymphoma", "with", "multiple", "active", "hypermetabolic" ]
[ 0, 1, 2, 0, 1, 2, 0, 1, 2, 2 ]
670
[ "มี", "cervical", "LN", "โต", "ขึ้น", ">>", "LN", "Bx", ":", "cHL" ]
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671
[ "-", "PET", "CT", "(", "ก.ค.", "59", "):", "complete", "response" ]
[ 0, 1, 2, 0, 0, 0, 0, 1, 2 ]
672
[ "-", "PET", "CT", "(26", "ต.ค.", "59", "):", "Rt.", "post", "cervical", "LN", "size", "1.4x1.9", "cm", "5PS", "=5" ]
[ 0, 1, 2, 0, 0, 0, 0, 1, 2, 2, 2, 0, 0, 0, 0, 0 ]
673
[ "-", "ประเมิน", "ก่อน", " ", "CMT", " " ]
[ 0, 1, 2, 2, 2, 2 ]
674
[ "-", "Repeat", "BM", "biopsy", "(5/4/60):", "no", "lymphoma", "involvement" ]
[ 0, 1, 2, 2, 0, 1, 2, 2 ]
675
[ ">>", "Relapse", "classical", "Hodgkin's", "lymphoma" ]
[ 0, 1, 2, 2, 2 ]
676
[ "-", "S/P", "Port", "A", "insertion", "4/8/60" ]
[ 0, 0, 1, 2, 2, 0 ]
677
[ ">>", "1st", "Bendamustine", "+", "IDEV", "D1", "12/8/60", "+", "IT", "MTX", "15/8/60:", "URI", ",", "Erythema", "nodosum", "c", "Post", "inflamatory", "hyperpigmentation", ",", "Diarrhea", "from", "colchicine", ",", "GERD", ",", "abscess", "at", "Lt", "axilla" ]
[ 0, 0, 1, 0, 1, 0, 0, 0, 1, 2, 0, 1, 0, 1, 2, 0, 1, 2, 2, 0, 1, 2, 2, 0, 1, 0, 1, 2, 2, 2 ]
678
[ ">>4th", "Bendamustine", "+", "IGE", "(D1=7/11/60),", "MTX", "IT", "(10/11/60),", "pancytopenia" ]
[ 0, 1, 0, 1, 0, 1, 2, 0, 1 ]
679
[ ">>5th", "Bendamustine", "+", "IGE", "(D1=4/12/60),", "MTX", "IT", "D5(7/12/60)" ]
[ 0, 1, 0, 1, 0, 1, 2, 0 ]
680
[ ">>6", "th", "Bendamustine", "+", "IGE", "(D1=3/1/61),", "MTX", "IT", "D4(6/1/61)" ]
[ 0, 0, 1, 0, 1, 0, 1, 2, 0 ]
681
[ ">>11th", "cycle", "Brentuximab", "D1", "14/12/61,", "ระหว่าง", " ", "admit", "มี", "hypokalemia", "สงสัย", "renal", "K", "loss", "(", "TTKG", "16/12/61=4.63)" ]
[ 0, 0, 1, 0, 0, 1, 2, 2, 0, 1, 0, 1, 2, 2, 0, 1, 0 ]
682
[ ">>", "14th", "Brentuximab", ",", "no", "complication", ",", "Hct", "=", "21.9%", "->", "ได้", "irradiated", "PFB", "1", "unit->", "Hct", "=", "23.4" ]
[ 0, 0, 1, 0, 0, 1, 0, 1, 0, 0, 0, 0, 1, 2, 0, 0, 1, 0, 0 ]
683
[ "หลังจากนั้น", "ไม่", "ได้", "ทำ", "CMT", "เพิ่มเติม", "อีก", "F/U", "hemato", "ต่อเนื่อง", "no", "B", "symptoms" ]
[ 0, 0, 0, 0, 0, 0, 0, 1, 1, 0, 1, 2, 2 ]
684
[ "ล่าสุด", "ทำ", "PET", "scan", "21/6/2563", ":", "newly", "seen", "asymmetrically", "increased", "uptake", "of", "rt", "to", "midline", "nasopharyngeal", "mucosa", ";", "possible", "infection/inflam" ]
[ 0, 0, 1, 2, 0, 0, 1, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 0, 1, 2 ]
685
[ "-", "last", "serum", "ferritin", "(6/3/63)", "819.7" ]
[ 0, 0, 1, 2, 0, 0 ]
686
[ "-", "คิดถึง", "renal", "K", "loss" ]
[ 0, 0, 1, 2, 2 ]
687
[ "6.", "CKD", "stage", "III", ",", "GFR", "47-53" ]
[ 0, 1, 2, 2, 0, 1, 0 ]
688
[ "วันนี้", "มา", "admit", "ให้", "เลือด", "ตาม", "นัด", "ปกติ", "อาการ", "ทั่วไป", "ปก", "ติด", "ี" ]
[ 0, 0, 1, 1, 2, 0, 0, 0, 1, 2, 2, 2, 0 ]
689
[ "Tempurature", ":", "36.4", "℃", "Pulse", ":", "100", "/min", "BP", "108/69", "mmHg", "Respiratory", "rate", ":", "20", "/min" ]
[ 1, 0, 0, 0, 1, 0, 0, 0, 1, 0, 0, 1, 2, 0, 0, 0 ]
690
[ "General", "appearance", ":" ]
[ 1, 2, 0 ]
691
[ "moderately", "pale", ",", "mild", "jaundice" ]
[ 1, 2, 0, 1, 2 ]
692
[ "Eye", "ENT", ":", "Normal" ]
[ 1, 2, 0, 1 ]
693
[ "•", "last", "HLA", "screening", "PRA", "class", "I", "and", "class", "II", "neg" ]
[ 0, 0, 1, 2, 1, 2, 2, 0, 1, 2, 1 ]
694
[ "•", "no", "hx", "rejection" ]
[ 0, 0, 1, 2 ]
695
[ "ปฏิเสธ", "ทาน", "ยาสมุนไพร", " ", "ยาแก้ปวด" ]
[ 1, 2, 2, 2, 2 ]
696
[ "U.", "BK", "<75" ]
[ 1, 2, 0 ]
697
[ "FK", "level", "5-6" ]
[ 1, 2, 0 ]
698
[ "UA", "protein", "neg", "RBC", "1-2", "UPCR", "0.1" ]
[ 1, 2, 1, 1, 0, 1, 0 ]
699