sentence stringclasses 253
values | question stringlengths 2 220 | answers dict | id stringclasses 253
values | label stringlengths 5 374 | span dict |
|---|---|---|---|---|---|
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... | What medications has the patient been prescribed for chronic folate | {
"answer_end": [
1824
],
"answer_start": [
1796
],
"text": [
"folate and iron replacement,"
]
} | 57_train | folate and iron replacement, | {
"end": 1824,
"start": 1796
} |
Ms. Halnon is a 67-year-old female with multiple medical comorbidities and a past medical history significant for cardiac transplant in 1993, and hip replacement in July 2005, complicated by wound infection, and need for prolonged rehabilitation who presented from Port Medical Center to Ephma Mersources Ni Memorial Hos... | has there been a prior analgesic | {
"answer_end": [
530
],
"answer_start": [
459
],
"text": [
"discontinuation of standing analgesic and decreasing of her clonazepam."
]
} | 5_train | discontinuation of standing analgesic and decreasing of her clonazepam. | {
"end": 530,
"start": 459
} |
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 this patient ever been prescribed antibiotics | {
"answer_end": [
775
],
"answer_start": [
679
],
"text": [
"nd a Lasix drip and Diuril with antibiotics for coverage of possible lower extremity cellulitis."
]
} | 145_train | nd a Lasix drip and Diuril with antibiotics for coverage of possible lower extremity cellulitis. | {
"end": 775,
"start": 679
} |
Dion Scarberry (926-57-39-3) was admitted on 9/0/2005 with a diagnosis of COPD flare and right heart failure and was discharged on 5/28/05 at 02:00 PM with a disposition of Home w/ services. He had a number of medications including Acetylsalicylic Acid 81mg PO QD Starting in AM (7/17), Elavil (Amitriptyline HCL) 10mg P... | Is the patient currently or have they ever taken acetylsalicylic acid | {
"answer_end": [
286
],
"answer_start": [
232
],
"text": [
"Acetylsalicylic Acid 81mg PO QD Starting in AM (7/17),"
]
} | 105_train | Acetylsalicylic Acid 81mg PO QD Starting in AM (7/17), | {
"end": 286,
"start": 232
} |
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... | Was the patient ever given medication for anxiety | {
"answer_end": [
962
],
"answer_start": [
926
],
"text": [
"LORAZEPAM 0.5 MG PO BID PRN Anxiety,"
]
} | 3_train | LORAZEPAM 0.5 MG PO BID PRN Anxiety, | {
"end": 962,
"start": 926
} |
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... | Is there a mention of of neurontin usage/prescription in the record | {
"answer_end": [
737
],
"answer_start": [
656
],
"text": [
"Lipitor 80 mg nightly, Nephrocaps, Neurontin 300 mg daily, PhosLo 2001 mg t.i.d.,"
]
} | 133_train | Lipitor 80 mg nightly, Nephrocaps, Neurontin 300 mg daily, PhosLo 2001 mg t.i.d., | {
"end": 737,
"start": 656
} |
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 had previous nitroglycerin 1/150 ( 0.4 mg ) | {
"answer_end": [
307
],
"answer_start": [
266
],
"text": [
"NITROGLYCERIN 1/150 (0.4 mg) SL q5min x 3"
]
} | 219_train | NITROGLYCERIN 1/150 (0.4 mg) SL q5min x 3 | {
"end": 307,
"start": 266
} |
This 63 year-old male with a history of peripheral vascular disease, hypertension, non-insulin dependent diabetes mellitus, coronary artery disease, aortic stenosis, and status post bilateral lower extremity bypass grafts presented to the hospital with increasing left lower extremity pain. At which time tPA infusion wa... | has there been a prior diltiazem | {
"answer_end": [
1918
],
"answer_start": [
1855
],
"text": [
" maintain INR between 2 and 3, aspirin, Diltiazem 30 mg t.i.d.,"
]
} | 67_train | maintain INR between 2 and 3, aspirin, Diltiazem 30 mg t.i.d., | {
"end": 1918,
"start": 1855
} |
The patient, a 77 year old woman, was admitted with complaint of urinary frequency and AMS. She has a possible allergy to Penicillins with a reaction of RASH and cannot tolerate floroquinolones. She was prescribed ACETYLSALICYLIC ACID 81 MG PO QD, LISINOPRIL 10 MG PO QD Starting Today ( 6/25 ), KCL SLOW RELEASE PO ( re... | Has this patient ever been on warfarin sodium | {
"answer_end": [
534
],
"answer_start": [
507
],
"text": [
"WARFARIN SODIUM 5 MG PO QPM"
]
} | 52_train | WARFARIN SODIUM 5 MG PO QPM | {
"end": 534,
"start": 507
} |
Lupe Rumble, a 42 year old female with a history of asthma, hypertension, obesity, hyperlipidemia, hyperglycemia, hirsutism, chiari malformation, spinal stenosis, and spinal syrinx, was admitted to the hospital with a recent asthma flare, productive cough, low grade fevers, shortness of breath, and wheezing. Her chest ... | What medicines have previously been tried for shortness of breath | {
"answer_end": [
557
],
"answer_start": [
522
],
"text": [
"ALBUTEROL NEBULIZER 2.5 MG NEB Q4H,"
]
} | 127_train | ALBUTEROL NEBULIZER 2.5 MG NEB Q4H, | {
"end": 557,
"start": 522
} |
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 the patient ever tried simethicone | {
"answer_end": [
1538
],
"answer_start": [
1495
],
"text": [
"SIMETHICONE 40 mg PO QID PRN Upset Stomach,"
]
} | 66_train | SIMETHICONE 40 mg PO QID PRN Upset Stomach, | {
"end": 1538,
"start": 1495
} |
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 this patient ever been treated with atrovent nasal 0.06% ( ipratropium nasal 0.06% ) | {
"answer_end": [
711
],
"answer_start": [
649
],
"text": [
"ATROVENT NASAL 0.06% (Ipratropium Nasal 0.06%) 2 SPRAY NA TID,"
]
} | 235_train | ATROVENT NASAL 0.06% (Ipratropium Nasal 0.06%) 2 SPRAY NA TID, | {
"end": 711,
"start": 649
} |
The patient is a 61-year-old man with a history of ischemic cardiomyopathy and congestive heart failure, who was initially treated with afterload reduction, digoxin and Lasix. A PA line was placed with RA 8, RV 76/4, TA 80/36, pulmonary capillary wedge pressure 34, and cardiac index 1.49. He was then treated with dobut... | Why is the patient taking lasix | {
"answer_end": [
175
],
"answer_start": [
29
],
"text": [
"man with a history of ischemic cardiomyopathy and congestive heart failure, who was initially treated with afterload reduction, digoxin and Lasix."
]
} | 246_train | man with a history of ischemic cardiomyopathy and congestive heart failure, who was initially treated with afterload reduction, digoxin and Lasix. | {
"end": 175,
"start": 29
} |
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... | What types of medications have been tried for anti-psuedomonal coverage for his diabetic foot ulcers. management | {
"answer_end": [
1825
],
"answer_start": [
1693
],
"text": [
"Additional antibiotic coverage was added specifically of fluoroquinolone for anti-psuedomonal coverage for his diabetic foot ulcers,"
]
} | 166_train | Additional antibiotic coverage was added specifically of fluoroquinolone for anti-psuedomonal coverage for his diabetic foot ulcers, | {
"end": 1825,
"start": 1693
} |
The 64-year-old female patient was admitted with atypical chest pain and a history of CAD (NSTEMIs x 2 in 1997/2001, cath 2000 RCA, LCx in 2000, which were complicated by in-stent thrombosis ?3 years ago), HTN, DM (hba1c 6.2), PVD. In the ED, BP 159/69, P 60. No EKG changes new. First set of enzymes negative. D dimer n... | Has the patient had multiple atenolol prescriptions | {
"answer_end": [
860
],
"answer_start": [
840
],
"text": [
"ATENOLOL 50 MG PO QD"
]
} | 162_train | ATENOLOL 50 MG PO QD | {
"end": 860,
"start": 840
} |
This 63 year-old male with a history of peripheral vascular disease, hypertension, non-insulin dependent diabetes mellitus, coronary artery disease, aortic stenosis, and status post bilateral lower extremity bypass grafts presented to the hospital with increasing left lower extremity pain. At which time tPA infusion wa... | Has the patient had nexium in the past | {
"answer_end": [
1983
],
"answer_start": [
1919
],
"text": [
"Simvastatin 20 mg q.d., Colace 100 mg t.i.d., Nexium 20 mg q.d.,"
]
} | 67_train | Simvastatin 20 mg q.d., Colace 100 mg t.i.d., Nexium 20 mg q.d., | {
"end": 1983,
"start": 1919
} |
A 79-year-old female with a history of diabetes mellitus, congestive heart failure, coronary artery disease, chronic renal insufficiency, and anemia, status post five years of TAMOXIFEN TREATMENT, was admitted to Darnbo Hospital on 7/29/97 after sudden onset of shortness of breath unrelieved by one sublingual nitroglyc... | Is the patient currently or have they ever taken lasix | {
"answer_end": [
432
],
"answer_start": [
355
],
"text": [
"managed with IV Lasix and IV nitroglycerin, saturating at 99% on 100% oxygen,"
]
} | 123_train | managed with IV Lasix and IV nitroglycerin, saturating at 99% on 100% oxygen, | {
"end": 432,
"start": 355
} |
This 64-year-old patient had a past medical history of non-small cell lung cancer, status post XRT and chemotherapy, right MC embolic stroke, status post right carotid endarterectomy, Graves’ disease, depression, diabetes, hypertension, asthma, temporal lobe epilepsy, and history of subclavian steal syndrome. On admiss... | Why is the patient on cymbalta | {
"answer_end": [
1766
],
"answer_start": [
1706
],
"text": [
"her Cymbalta, were maintained for her history of depression."
]
} | 229_train | her Cymbalta, were maintained for her history of depression. | {
"end": 1766,
"start": 1706
} |
Ms. Christin is an 80-year-old female who presented to an outside hospital with chest pain and shortness of breath. She took one sublingual Nitroglycerin without relief, followed by two more without relief and was then treated with intravenous Lasix, morphine, and Nitroglycerin which resulted in resolution of her pain.... | Has the patient ever had hydrochlorothiazide | {
"answer_end": [
1088
],
"answer_start": [
1025
],
"text": [
"iron 300 mg three times a day, Hydrochlorothiazide 25 mg daily,"
]
} | 172_train | iron 300 mg three times a day, Hydrochlorothiazide 25 mg daily, | {
"end": 1088,
"start": 1025
} |
This is a 48-year-old female who was admitted to the hospital with pneumonia and Klonopin overdose two days prior to admission, having recently completed an antibiotic course at Dale Skin Sonmu Medical Center for pneumonia. She has not taken her lisinopril or methadone in the past. Upon admission, her respiratory rate ... | Previous oxygen | {
"answer_end": [
367
],
"answer_start": [
299
],
"text": [
"her respiratory rate was 18, O2 saturation 95% on 8 liters of oxygen"
]
} | 232_train | her respiratory rate was 18, O2 saturation 95% on 8 liters of oxygen | {
"end": 367,
"start": 299
} |
This is a 42 year old female nurse with morbid obesity who was admitted on 0/25/95 due to concern for her being at high risk of skin breakdown and infection. A panniculectomy was performed by Dr. Stanczyk without any complications. During the hospital course, the patient was treated with MEDICATIONS: Paxil, 60 mg P O q... | Has the patient had heparin in the past | {
"answer_end": [
626
],
"answer_start": [
590
],
"text": [
"Hibiclenz showers and sub-q Heparin."
]
} | 21_train | Hibiclenz showers and sub-q Heparin. | {
"end": 626,
"start": 590
} |
The patient is a 37 year old woman with dilated cardiomyopathy admitted with positional chest pain associated with viral prodrome. Her past medical history revealed she was diagnosed with dilated cardiomyopathy in 10-89 and discharged on Lasix, digoxin, and an ACE inhibitor. On 20 May, she was admitted to Orecross Medi... | Is there a mention of of indocin usage/prescription in the record | {
"answer_end": [
1460
],
"answer_start": [
1383
],
"text": [
"control her pericarditis with Indocin. With the resolution of her chest pain,"
]
} | 11_train | control her pericarditis with Indocin. With the resolution of her chest pain, | {
"end": 1460,
"start": 1383
} |
Dion Scarberry (926-57-39-3) was admitted on 9/0/2005 with a diagnosis of COPD flare and right heart failure and was discharged on 5/28/05 at 02:00 PM with a disposition of Home w/ services. He had a number of medications including Acetylsalicylic Acid 81mg PO QD Starting in AM (7/17), Elavil (Amitriptyline HCL) 10mg P... | Has the patient had previous zocor ( simvastatin ) | {
"answer_end": [
850
],
"answer_start": [
818
],
"text": [
"Zocor (Simvastatin) 20mg PO QHS,"
]
} | 105_train | Zocor (Simvastatin) 20mg PO QHS, | {
"end": 850,
"start": 818
} |
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 patient ever been prescribed kcl | {
"answer_end": [
1056
],
"answer_start": [
1047
],
"text": [
"ECASA 81,"
]
} | 235_train | ECASA 81, | {
"end": 1056,
"start": 1047
} |
A 77-year-old woman presented to the ED with sudden onset of severe sharp chest pain, diaphoresis, and nausea; she was given nitro, hydralazine, SL nitro, and a nitro drip, and her pain was relieved. Cardiac catheterization showed no change from prior studies, but pulmonary hypertension was noted, and the patient was t... | Has the patient ever been on labetalol | {
"answer_end": [
405
],
"answer_start": [
369
],
"text": [
"uptitrated labetalol for BP control."
]
} | 102_train | uptitrated labetalol for BP control. | {
"end": 405,
"start": 369
} |
Arron Umbaugh was admitted on 4/30/2001 and discharged on 7/10/2001 with a code status of full code and disposition of home w/ services. The discharge medications included ASA (Acetylsalicylic Acid) 325 mg PO QD, Atenolol 25 mg PO QD Starting Today (1/24) HOLD IF, Colace (Docusate Sodium) 100 mg PO BID, Lasix (Furosemi... | Has the pt. ever been on omeprazole before | {
"answer_end": [
1183
],
"answer_start": [
1126
],
"text": [
"potentially serious interaction: Furosemide & Omeprazole,"
]
} | 32_train | potentially serious interaction: Furosemide & Omeprazole, | {
"end": 1183,
"start": 1126
} |
Mr. Barriger is a 73-year-old gentleman who was admitted to the Cardiac Step-Down Floor after being a restrained driver in a motor vehicle collision. His past medical history includes myocardial infarction, hypertension, hypercholesterolemia, diabetes, renal cyst, and cataract, and a past surgical history of coronary s... | What pain medications have ever been prescribed for pt. in the VA or mentioned in the record | {
"answer_end": [
1047
],
"answer_start": [
992
],
"text": [
"Dilaudid 1-2 mg IV q.4h. p.r.n. pain. for pain control."
]
} | 99_train | Dilaudid 1-2 mg IV q.4h. p.r.n. pain. for pain control. | {
"end": 1047,
"start": 992
} |
Gregory Goodness, a 79-year-old man, was admitted to Sachua Oaks De on 5/18/2003 and discharged on 3/24/2003 with a disposition of home with services. The patient was put on a full code status and the attending physician was Gene R. Kos, M.D. The main diagnoses included Hypercalcemia, Hyperkalemia, CHF, NIDDM, AI/AS, b... | Has the patient had previous imdur ( isosorbide mononit.( sr ) ) | {
"answer_end": [
778
],
"answer_start": [
733
],
"text": [
"Imdur (Isosorbide Mononit. (SR)) 30 mg PO QD,"
]
} | 12_train | Imdur (Isosorbide Mononit. (SR)) 30 mg PO QD, | {
"end": 778,
"start": 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... | Is there a mention of of antibiotic clindamycin usage/prescription in the record | {
"answer_end": [
782
],
"answer_start": [
707
],
"text": [
"CLINDAMYCIN HCL 300 MG PO QID X 12 doses starting after IV ANTIBIOTICS END,"
]
} | 89_train | CLINDAMYCIN HCL 300 MG PO QID X 12 doses starting after IV ANTIBIOTICS END, | {
"end": 782,
"start": 707
} |
This is a 56-year-old female transferred from the Internal Medicine Service for acute cholecystitis, presenting with abdominal pain, nausea, vomiting, and shortness of breath. A CT scan showed an inflamed gallbladder. Past medical history includes hypertension, hypercholesterolemia, and diabetes mellitus type 2 (untrea... | Has the patient had previous atenolol | {
"answer_end": [
384
],
"answer_start": [
326
],
"text": [
"Outpatient medications included Atenolol 50 mg p.o. daily,"
]
} | 90_train | Outpatient medications included Atenolol 50 mg p.o. daily, | {
"end": 384,
"start": 326
} |
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 used ciprofloxacin in the past | {
"answer_end": [
1681
],
"answer_start": [
1638
],
"text": [
"after a levofloxacin or ciprofloxacin dose."
]
} | 228_train | after a levofloxacin or ciprofloxacin dose. | {
"end": 1681,
"start": 1638
} |
Harrison Fullwood was admitted on 4/3/2005 for ICD placement for HCM. On 7/13/05, Medtronic Dual Chamber DDI/ICD was placed under general anesthesia with a CODE STATUS of Full Code and disposition of Home. ECHO 5/13 showed septal thickness 16mm, posterior wall thickness 19mm with preserved EF 65% and LV outflow tract p... | Has the patient had previous loratidine | {
"answer_end": [
889
],
"answer_start": [
820
],
"text": [
"Verapamil 120mg daily, Patanol 1-2 OU bid prn, Loratidine 10mg daily,"
]
} | 160_train | Verapamil 120mg daily, Patanol 1-2 OU bid prn, Loratidine 10mg daily, | {
"end": 889,
"start": 820
} |
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, ... | What treatments if any has the patient tried for pain in the past | {
"answer_end": [
416
],
"answer_start": [
359
],
"text": [
"Tylenol (Acetaminophen) 500 mg PO Q6H PRN Pain, Headache,"
]
} | 135_train | Tylenol (Acetaminophen) 500 mg PO Q6H PRN Pain, Headache, | {
"end": 416,
"start": 359
} |
This 64-year-old male with a history of coronary artery disease, CHF, EF of 15%, status post AVR, and NSTEMI initially presented to outside hospital with chief complaint of shortness of breath and was found to have a BNP of 747 as well as a troponin I of 0.43. He was diuresed, started on Carvedilol and improved, and pl... | Is there a mention of of spironolactone usage/prescription in the record | {
"answer_end": [
904
],
"answer_start": [
872
],
"text": [
"Spironolactone 25 mg p.o. daily,"
]
} | 243_train | Spironolactone 25 mg p.o. daily, | {
"end": 904,
"start": 872
} |
Ruben Elias Poupard is a 23-year-old morbidly obese male who presented with polyuria, polydypsia, nausea, and vomiting. He was diagnosed with diabetic ketoacidosis (DKA) with a blood sugar greater than 200, ketonuria, and pH less than 7.4. To correct hyperglycemia and acidosis, insulin was given along with 20mEQ of KCl... | What is the dosage of kcl | {
"answer_end": [
345
],
"answer_start": [
279
],
"text": [
"insulin was given along with 20mEQ of KCl and two liters of fluid."
]
} | 1_train | insulin was given along with 20mEQ of KCl and two liters of fluid. | {
"end": 345,
"start": 279
} |
The patient was admitted on 4/12/04 with a right plantar surface neurotrophic ulcer, low-grade fevers and chills, and a history of diabetes mellitus, hypertension, distant past of pancreatitis, gout, neuropathy, high cholesterol, and chronic renal insufficiency. Significant labs at the time of admission included a pota... | Previous lantus | {
"answer_end": [
441
],
"answer_start": [
420
],
"text": [
"Lantus 100 mg q.p.m.,"
]
} | 202_train | Lantus 100 mg q.p.m., | {
"end": 441,
"start": 420
} |
Mr. Barriger is a 73-year-old gentleman who was admitted to the Cardiac Step-Down Floor after being a restrained driver in a motor vehicle collision. His past medical history includes myocardial infarction, hypertension, hypercholesterolemia, diabetes, renal cyst, and cataract, and a past surgical history of coronary s... | How much aspirin does the patient take per day | {
"answer_end": [
455
],
"answer_start": [
428
],
"text": [
"Aspirin 81 mg p.o. q. day.,"
]
} | 99_train | Aspirin 81 mg p.o. q. day., | {
"end": 455,
"start": 428
} |
This 64-year-old patient had a past medical history of non-small cell lung cancer, status post XRT and chemotherapy, right MC embolic stroke, status post right carotid endarterectomy, Graves’ disease, depression, diabetes, hypertension, asthma, temporal lobe epilepsy, and history of subclavian steal syndrome. On admiss... | Has this patient ever been prescribed prilosec | {
"answer_end": [
735
],
"answer_start": [
712
],
"text": [
"Lamictal 200 mg b.i.d.,"
]
} | 229_train | Lamictal 200 mg b.i.d., | {
"end": 735,
"start": 712
} |
This 66-year-old male with a complicated medical history of DM2, CHB with pacer and evidence of clot on pacer wire, and non-compliance with medications and diet was admitted to the ED with symptoms of abdominal pain and SOB with FS of 500-600. On admission, his VS were 99.5, 101/62, 70s, SaO2 96% on room air. His exam ... | has there been a prior warfarin | {
"answer_end": [
1819
],
"answer_start": [
1768
],
"text": [
"POTENTIALLY SERIOUS INTERACTION: ASPIRIN & WARFARIN"
]
} | 170_train | POTENTIALLY SERIOUS INTERACTION: ASPIRIN & WARFARIN | {
"end": 1819,
"start": 1768
} |
Ms. Fought is a 50-year-old female with a history of bipolar disorder, schizophrenia, obstructive sleep apnea, hypertension, and diabetes who presented with right knee swelling, redness, and pain and was admitted to the Emergency Department. She was given therapeutic doses of heparin because of the concern of pain, as ... | Is there a mention of of lithium usage/prescription in the record | {
"answer_end": [
703
],
"answer_start": [
677
],
"text": [
"Lithium 900 mg at bedtime,"
]
} | 31_train | Lithium 900 mg at bedtime, | {
"end": 703,
"start": 677
} |
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... | Was the patient ever prescribed atenolol | {
"answer_end": [
870
],
"answer_start": [
825
],
"text": [
"she was prescribed Atenolol 100 mg p.o. q.d.,"
]
} | 249_train | she was prescribed Atenolol 100 mg p.o. q.d., | {
"end": 870,
"start": 825
} |
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 medications has patient been on for agitation. in the past | {
"answer_end": [
220
],
"answer_start": [
152
],
"text": [
"Depakote and Haldol was reduced to just Monday-Wednesday-Friday 1 mg"
]
} | 106_train | Depakote and Haldol was reduced to just Monday-Wednesday-Friday 1 mg | {
"end": 220,
"start": 152
} |
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... | Is there a mention of of dilantin usage/prescription in the record | {
"answer_end": [
185
],
"answer_start": [
131
],
"text": [
"was treated with Dilantin for less than a year in 1970"
]
} | 76_train | was treated with Dilantin for less than a year in 1970 | {
"end": 185,
"start": 131
} |
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 patient ever been prescribed flomax | {
"answer_end": [
181
],
"answer_start": [
161
],
"text": [
"Flomax 0.8 mg daily."
]
} | 181_train | Flomax 0.8 mg daily. | {
"end": 181,
"start": 161
} |
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... | What is the current dose of the patient's lopressor ( metoprolol tartrate ) | {
"answer_end": [
768
],
"answer_start": [
723
],
"text": [
"LOPRESSOR (METOPROLOL TARTRATE) 25 MG PO BID,"
]
} | 175_train | LOPRESSOR (METOPROLOL TARTRATE) 25 MG PO BID, | {
"end": 768,
"start": 723
} |
The patient is a 74-year-old male with a history of acute inferior myocardial infarction in February of 1998 and total occlusion of the mid circumflex with fresh thrombus, complicated by postmyocardial infarction atrial fibrillation with Mobitz type I block, now admitted following syncopal episode. At admission, the la... | What treatments if any has the patient tried for atrial fibrillation in the past | {
"answer_end": [
496
],
"answer_start": [
458
],
"text": [
"The patient was loaded on procainamide"
]
} | 205_train | The patient was loaded on procainamide | {
"end": 496,
"start": 458
} |
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... | Why did the patient have benadryl ( diphenhydramine hcl ) | {
"answer_end": [
986
],
"answer_start": [
931
],
"text": [
"BENADRYL (DIPHENHYDRAMINE HCL) 25 MG PO Q6H PRN Itching"
]
} | 158_train | BENADRYL (DIPHENHYDRAMINE HCL) 25 MG PO Q6H PRN Itching | {
"end": 986,
"start": 931
} |
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 patient ever been prescribed atrovent nasal 0.06% ( ipratropium nasal 0.06% ) | {
"answer_end": [
711
],
"answer_start": [
649
],
"text": [
"ATROVENT NASAL 0.06% (Ipratropium Nasal 0.06%) 2 SPRAY NA TID,"
]
} | 235_train | ATROVENT NASAL 0.06% (Ipratropium Nasal 0.06%) 2 SPRAY NA TID, | {
"end": 711,
"start": 649
} |
This 75 year old woman with a history of hypertension, hyperlipidemia, past tobacco use, and angina presented with syncope and was found to be status post non ST elevation myocardial infarction. She was treated with Aspirin, Heparin, Lopressor, Captopril, and Cozaar initially with heart rate and blood pressure secondar... | Did the patient receive cozaar for ischemia | {
"answer_end": [
330
],
"answer_start": [
245
],
"text": [
"Captopril, and Cozaar initially with heart rate and blood pressure secondary to COPD,"
]
} | 115_train | Captopril, and Cozaar initially with heart rate and blood pressure secondary to COPD, | {
"end": 330,
"start": 245
} |
Mary Urbieta, a 56-year-old male with a history of ESRD, CAD, and CHF (EF 20-25%), was admitted to the hospital with Hypotension and NSTEMI. Upon discharge he was placed on a Full Code status, a renal diet (FDI), and walking as tolerated, and was instructed to avoid grapefruit unless MD instructs otherwise. His BP was ... | What are the different medications that have been used on this patient for dvt prophylaxis | {
"answer_end": [
1783
],
"answer_start": [
1752
],
"text": [
"SQ heparin for DVT prophylaxis."
]
} | 9_train | SQ heparin for DVT prophylaxis. | {
"end": 1783,
"start": 1752
} |
This 75-year-old female vasculopath was admitted for further evaluation of her peripheral vascular disease which was suspected to be contributing to her new ulcerations and progressively worsening bilateral foot pain, foot mottling and wrist pain as an exacerbating factor to likely atheroembolic phenomenon, status post... | Has the patient had multiple valium prescriptions | {
"answer_end": [
2297
],
"answer_start": [
2266
],
"text": [
"Valium 5 mg p.o. b.i.d. p.r.n.,"
]
} | 81_train | Valium 5 mg p.o. b.i.d. p.r.n., | {
"end": 2297,
"start": 2266
} |
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... | MEDS RECORD | {
"answer_end": [
263
],
"answer_start": [
176
],
"text": [
"Her medical problems included severe COPD (on home O2 2 liters baseline sat below 90s),"
]
} | 212_train | Her medical problems included severe COPD (on home O2 2 liters baseline sat below 90s), | {
"end": 263,
"start": 176
} |
Mr. Lumadue is a 68-year-old man with significant cardiac history and vascular disease who came in with a chief complaint of hip pain after a mechanical fall. At that time, his hospital course was complicated by a non-Q wave MI, and Cardiology recommended medical management with Lopressor. An echocardiogram revealed an... | What medications have been previously used for prevention of prophylaxis...anticoagulation | {
"answer_end": [
1809
],
"answer_start": [
1788
],
"text": [
"Nexium 20 mg PO q.d.,"
]
} | 23_train | Nexium 20 mg PO q.d., | {
"end": 1809,
"start": 1788
} |
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... | humalog | {
"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,"
]
} | 194_train | On the day of admission, the patient was on a Humalog 7 units b.i.d. and Lantus 12 units in the evening, | {
"end": 719,
"start": 615
} |
This is a 67-year-old male with a history of tremor, hypertension, diabetes, atrial fibrillation, coronary artery disease, benign prostatic hypertrophy, gastroesophageal reflux disease, hiatal hernia, degenerative joint disease, polymyalgia rheumatica, diverticulitis, and osteomyelitis. He was admitted to the hospital ... | Has the pt. ever been on vancomycin hcl before | {
"answer_end": [
729
],
"answer_start": [
709
],
"text": [
"Vancomycin 1 gm qod,"
]
} | 36_train | Vancomycin 1 gm qod, | {
"end": 729,
"start": 709
} |
This is a 67-year-old male with a history of tremor, hypertension, diabetes, atrial fibrillation, coronary artery disease, benign prostatic hypertrophy, gastroesophageal reflux disease, hiatal hernia, degenerative joint disease, polymyalgia rheumatica, diverticulitis, and osteomyelitis. He was admitted to the hospital ... | Has the patient ever had isordil ( isosorbide dinitrate ) | {
"answer_end": [
546
],
"answer_start": [
531
],
"text": [
"Isordil 40 bid,"
]
} | 36_train | Isordil 40 bid, | {
"end": 546,
"start": 531
} |
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 is the current dose of the patient's multivitamin | {
"answer_end": [
1062
],
"answer_start": [
1031
],
"text": [
"Multivitamin one tab p.o. q.d.,"
]
} | 216_train | Multivitamin one tab p.o. q.d., | {
"end": 1062,
"start": 1031
} |
Patient, a 37 year old male with multiple admissions for atypical chest pain, morbid obesity, restrictive lung disease by PFTs, sleep apnea, and borderline hypertension, came in complaining of SOB and "asthma attack" and anxiety. He responded well to Nebs and Ativan in the ED and was discharged with ECASA (Aspirin Ente... | Has a patient had prilosec ( omeprazole ) | {
"answer_end": [
1240
],
"answer_start": [
1206
],
"text": [
"Prilosec (Omeprazole) 20 MG PO QD,"
]
} | 49_train | Prilosec (Omeprazole) 20 MG PO QD, | {
"end": 1240,
"start": 1206
} |
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 there history of use of milrinone | {
"answer_end": [
284
],
"answer_start": [
205
],
"text": [
"complicated by worsening cardiac function with minimal improvement on milrinone"
]
} | 136_train | complicated by worsening cardiac function with minimal improvement on milrinone | {
"end": 284,
"start": 205
} |
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... | depression. meds on in past | {
"answer_end": [
1546
],
"answer_start": [
1431
],
"text": [
"The patient had a history of depression which had been worse of late and was advised to continue Zoloft and Ambien,"
]
} | 235_train | The patient had a history of depression which had been worse of late and was advised to continue Zoloft and Ambien, | {
"end": 1546,
"start": 1431
} |
This 64-year-old patient had a past medical history of non-small cell lung cancer, status post XRT and chemotherapy, right MC embolic stroke, status post right carotid endarterectomy, Graves’ disease, depression, diabetes, hypertension, asthma, temporal lobe epilepsy, and history of subclavian steal syndrome. On admiss... | Has this patient ever tried ciprofloxacin | {
"answer_end": [
1508
],
"answer_start": [
1334
],
"text": [
"She was covered with antibiotics initially, then transitioned over to a ciprofloxacin 700 mg p.o. b.i.d. regime for a total of 12 days for a presumed urinary tract infection."
]
} | 229_train | She was covered with antibiotics initially, then transitioned over to a ciprofloxacin 700 mg p.o. b.i.d. regime for a total of 12 days for a presumed urinary tract infection. | {
"end": 1508,
"start": 1334
} |
Loyd O. Karpinsky underwent a laparoscopic adjustable gastric band placement without complication and was transferred to the PACU in stable condition. Her pain was well controlled with PCA analgesia on POD0 and transitioned to po elixir analgesia following a negative upper GI study exhibiting no leaks. She was discharg... | Has a patient had roxicet elixir ( oxycodone+apap liquid ) | {
"answer_end": [
476
],
"answer_start": [
404
],
"text": [
"ROXICET ELIXIR (OXYCODONE+APAP LIQUID) 5-10 MILLILITERS PO Q4H PRN Pain,"
]
} | 153_train | ROXICET ELIXIR (OXYCODONE+APAP LIQUID) 5-10 MILLILITERS PO Q4H PRN Pain, | {
"end": 476,
"start": 404
} |
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 this patient ever tried bactrim ds ( trimethoprim/sulfamethoxazole dou... ) | {
"answer_end": [
1025
],
"answer_start": [
967
],
"text": [
"Bactrim DS (Trimethoprim/Sulfamethoxazole Double Strength)"
]
} | 147_train | Bactrim DS (Trimethoprim/Sulfamethoxazole Double Strength) | {
"end": 1025,
"start": 967
} |
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... | Was the patient ever prescribed lasix | {
"answer_end": [
1062
],
"answer_start": [
981
],
"text": [
"enalapril 20 mg p.o. b.i.d., Lasix 200 mg p.o. b.i.d., Losartan 50 mg p.o. daily,"
]
} | 17_train | enalapril 20 mg p.o. b.i.d., Lasix 200 mg p.o. b.i.d., Losartan 50 mg p.o. daily, | {
"end": 1062,
"start": 981
} |
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... | has there been a prior dopamine | {
"answer_end": [
268
],
"answer_start": [
197
],
"text": [
"She was intubated, received amiodarone and dopamine, as her BP was low."
]
} | 17_train | She was intubated, received amiodarone and dopamine, as her BP was low. | {
"end": 268,
"start": 197
} |
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 the patient ever been on clonazepam | {
"answer_end": [
569
],
"answer_start": [
545
],
"text": [
"CLONAZEPAM 0.5 MG PO QD,"
]
} | 10_train | CLONAZEPAM 0.5 MG PO QD, | {
"end": 569,
"start": 545
} |
A 54M with a history of CHF admitted with chest pain and troponin elevation likely due to a hypertensive emergency was found to have a 100% RCA lesion but well collateralized and no other CAD at cardiac catheterization. Keys to management were aggressive BP control with medications, low salt diet, and weight loss; cont... | Is there history of use of lasix | {
"answer_end": [
384
],
"answer_start": [
338
],
"text": [
"Lasix 160 in AM, 120 in PM for volume control."
]
} | 146_train | Lasix 160 in AM, 120 in PM for volume control. | {
"end": 384,
"start": 338
} |
This 46-year-old male with a history of Insulin dependent diabetes, currently managed with 32 units of NPH Humulin, presented with pain with motion of the subtalar joint or the mid foot. He had a long history of ankle pain on the right side due to two fractures, one as a child and one due to a fall from a ladder, and w... | Why was tordal originally prescribed | {
"answer_end": [
419
],
"answer_start": [
319
],
"text": [
"was controlling his pain with Darvocet as well as intramuscular Tordal 15 to 30 mg four times a day."
]
} | 100_train | was controlling his pain with Darvocet as well as intramuscular Tordal 15 to 30 mg four times a day. | {
"end": 419,
"start": 319
} |
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 the patient ever tried keflex | {
"answer_end": [
1922
],
"answer_start": [
1874
],
"text": [
"he was expected to stay on Keflex for four days."
]
} | 58_train | he was expected to stay on Keflex for four days. | {
"end": 1922,
"start": 1874
} |
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 the patient ever been on synthroid | {
"answer_end": [
1059
],
"answer_start": [
1003
],
"text": [
"Synthroid 200 mcg p.o. q.d., Zaroxolyn 5 mg p.o. q.a.m.,"
]
} | 30_train | Synthroid 200 mcg p.o. q.d., Zaroxolyn 5 mg p.o. q.a.m., | {
"end": 1059,
"start": 1003
} |
Mr. Forde has recovered very well following his elective coronary artery bypass graft procedure and is hemodynamically stable with left lower extremity erythema and tenderness significantly improved 24 hours following initiation of Keflex course. White blood cell count was within normal limits and patient continued to ... | has there been a prior atorvastatin | {
"answer_end": [
2188
],
"answer_start": [
2106
],
"text": [
"101 degrees Fahrenheit, amlodipine 5 mg p.o. daily, atorvastatin 10 mg p.o. daily,"
]
} | 157_train | 101 degrees Fahrenheit, amlodipine 5 mg p.o. daily, atorvastatin 10 mg p.o. daily, | {
"end": 2188,
"start": 2106
} |
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... | has there been a prior tamsulosin | {
"answer_end": [
1831
],
"answer_start": [
1795
],
"text": [
"Miconazole 2% topical powder b.i.d.,"
]
} | 227_train | Miconazole 2% topical powder b.i.d., | {
"end": 1831,
"start": 1795
} |
A 73-year-old male patient with a history of coronary artery disease, ischemic cardiomyopathy, and valvular heart disease was admitted to the Rose-le Medical Center with a large left foot toe ulcer that was nonhealing, and signs and symptoms of decompensated heart failure and acute on chronic renal failure. During his ... | Has this patient ever tried aspartate insulin | {
"answer_end": [
1015
],
"answer_start": [
983
],
"text": [
"aspartate insulin sliding scale,"
]
} | 56_train | aspartate insulin sliding scale, | {
"end": 1015,
"start": 983
} |
Mr. Forde has recovered very well following his elective coronary artery bypass graft procedure and is hemodynamically stable with left lower extremity erythema and tenderness significantly improved 24 hours following initiation of Keflex course. White blood cell count was within normal limits and patient continued to ... | Has this patient ever been treated with hydrochlorothiazide | {
"answer_end": [
2435
],
"answer_start": [
2372
],
"text": [
"p.o. daily, Lasix 40 mg p.o. daily x7 days, hydrochlorothiazide"
]
} | 157_train | p.o. daily, Lasix 40 mg p.o. daily x7 days, hydrochlorothiazide | {
"end": 2435,
"start": 2372
} |
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... | Is the patient currently or have they ever taken epogen | {
"answer_end": [
864
],
"answer_start": [
830
],
"text": [
"Epogen 5000 units subcu. q. week.,"
]
} | 154_train | Epogen 5000 units subcu. q. week., | {
"end": 864,
"start": 830
} |
The patient is a 42-year-old woman admitted for treatment of two pulmonary embolisms and a urinary tract infection. Twenty years ago she suffered a pulmonary embolism which was poorly documented after a tubal ligation. She was treated with heparin and Coumadin and had been well since that time. On 1 of October she unde... | Has this patient ever been prescribed heparin. | {
"answer_end": [
1000
],
"answer_start": [
945
],
"text": [
"started on heparin and the PTT was quickly therapeutic."
]
} | 209_train | started on heparin and the PTT was quickly therapeutic. | {
"end": 1000,
"start": 945
} |
This 75-year-old female vasculopath was admitted for further evaluation of her peripheral vascular disease which was suspected to be contributing to her new ulcerations and progressively worsening bilateral foot pain, foot mottling and wrist pain as an exacerbating factor to likely atheroembolic phenomenon, status post... | Has this patient ever been on prozac | {
"answer_end": [
2966
],
"answer_start": [
2942
],
"text": [
"Prozac 40 mg p.o. daily,"
]
} | 81_train | Prozac 40 mg p.o. daily, | {
"end": 2966,
"start": 2942
} |
Mrs. Denman is a 63-year-old, insulin-dependent diabetic with a long history of peripheral vascular disease and multiple surgical procedures. She underwent a right transmetatarsal amputation in 1990 and subsequently underwent a right femoral distal saphenous vein bypass graft in 1991 which was later revised in 1992. In... | Has this patient ever tried isordil | {
"answer_end": [
1778
],
"answer_start": [
1682
],
"text": [
"sliding scale insulin subcu q 4, Isordil 30 mg t.i.d., Zestril 5 mg q d, Lopressor 50 mg b.i.d.,"
]
} | 188_train | sliding scale insulin subcu q 4, Isordil 30 mg t.i.d., Zestril 5 mg q d, Lopressor 50 mg b.i.d., | {
"end": 1778,
"start": 1682
} |
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 a patient had cefuroxime | {
"answer_end": [
1711
],
"answer_start": [
1662
],
"text": [
"he was started on an empiric course of cefuroxime"
]
} | 167_train | he was started on an empiric course of cefuroxime | {
"end": 1711,
"start": 1662
} |
This is a 66-year-old man with spinal sarcoidosis and secondary paraplegia who presented with altered mental status, hypoxemic respiratory failure, and hypotension. He became hypotensive with intubation despite using etomidate with Levophed, and was started on vancomycin, gentamicin, Flagyl, and stress dose steroids wi... | Has this patient ever been prescribed nph human insulin | {
"answer_end": [
2065
],
"answer_start": [
2023
],
"text": [
"NPH human insulin 54 units in the morning,"
]
} | 224_train | NPH human insulin 54 units in the morning, | {
"end": 2065,
"start": 2023
} |
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... | What is the patient's ciprofloxacin history | {
"answer_end": [
355
],
"answer_start": [
298
],
"text": [
"seven-day course of ciprofloxacin and oxycodone for pain,"
]
} | 61_train | seven-day course of ciprofloxacin and oxycodone for pain, | {
"end": 355,
"start": 298
} |
Mr. Gerache is a 59 yo man with poorly controlled diabetes and asthma who presented with chest pain. He had intermittent chest pain with activity lasting 5 minutes, relieved with rest, as well as shortness of breath when climbing stairs. Cardiac catheterization showed LAD prox 40%, no LCX lesions, no RCA lesions, and R... | has there been a prior -beta blocker | {
"answer_end": [
366
],
"answer_start": [
341
],
"text": [
"Beta blocker was started,"
]
} | 78_train | Beta blocker was started, | {
"end": 366,
"start": 341
} |
This 53 year old Afro-American female was admitted to the Emergency Room in 1987 with acute atypical chest pain and was later diagnosed with dilated cardiomyopathy, hypertension, and asthma. Upon admission, her blood pressure ranged between 170 to 180/100 to 110, and she was prescribed Beclovent 4 puffs b.i.d., Enalapr... | Has this patient ever been prescribed hydralazine | {
"answer_end": [
499
],
"answer_start": [
437
],
"text": [
"heart rate of 75 and respiratory rate of 12 after Hydralazine."
]
} | 159_train | heart rate of 75 and respiratory rate of 12 after Hydralazine. | {
"end": 499,
"start": 437
} |
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... | What types of medications have been tried for hypertensive management | {
"answer_end": [
735
],
"answer_start": [
670
],
"text": [
"(labetalol and hydralazine) to control her hypertension on pod#0."
]
} | 73_train | (labetalol and hydralazine) to control her hypertension on pod#0. | {
"end": 735,
"start": 670
} |
Shaull Darin was admitted on 8/12/2007 and discharged on 7/17/2007 with a full code status and disposition to home. During his stay, he was prescribed ACETYLSALICYLIC ACID 325 MG PO DAILY, with an Override Notice added on 10/30/07 by LAUB , STERLING B M. , M.D. on order for COUMADIN PO ( ref # 853955570 ) due to a POTE... | Has the patient ever had warfarin | {
"answer_end": [
1167
],
"answer_start": [
1112
],
"text": [
"POTENTIALLY SERIOUS INTERACTION: LOVASTATIN & WARFARIN,"
]
} | 163_train | POTENTIALLY SERIOUS INTERACTION: LOVASTATIN & WARFARIN, | {
"end": 1167,
"start": 1112
} |
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, ... | Is the patient currently or have they ever taken atenolol | {
"answer_end": [
439
],
"answer_start": [
417
],
"text": [
"Atenolol 100 mg PO QD,"
]
} | 135_train | Atenolol 100 mg PO QD, | {
"end": 439,
"start": 417
} |
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 hydrochlorothiazide | {
"answer_end": [
1167
],
"answer_start": [
1104
],
"text": [
"aspirin 325 mg q.d. IV heparin, hydrochlorothiazide 50 mg q.d.,"
]
} | 48_train | aspirin 325 mg q.d. IV heparin, hydrochlorothiazide 50 mg q.d., | {
"end": 1167,
"start": 1104
} |
A 83 year old female with hereditary angioedema was admitted to the hospital with abdominal pain which was not relieved by Stanazolol, and she had diarrhea, nausea/vomiting, sweats, and decreased PO intake. She was given 6 units FFP with premedication of IV Benadryl on the first night of her hospitalization, Stanazolol... | Was the patient ever prescribed keflex | {
"answer_end": [
940
],
"answer_start": [
913
],
"text": [
"Keflex PO (ref. #63524947)."
]
} | 54_train | Keflex PO (ref. #63524947). | {
"end": 940,
"start": 913
} |
This is a 61-year-old gentleman with severe pulmonary hypertension secondary to chronic PEs, OSA, gout, bilateral hip replacements who presents with two falls in the past two days. He was compliant with his medication regimen and denies dietary indiscretion. He was on his beta-blocker and anticoagulated on Coumadin wit... | Was the patient ever prescribed diovan | {
"answer_end": [
1600
],
"answer_start": [
1532
],
"text": [
"Diovan 320 a day, multivitamin 1 tab daily, Toprol-XL 50 once a day,"
]
} | 70_train | Diovan 320 a day, multivitamin 1 tab daily, Toprol-XL 50 once a day, | {
"end": 1600,
"start": 1532
} |
The 54-year-old black woman presented for reop coronary artery bypass grafting due to recurrent substernal chest pain approximately four months after her bypass surgery. Under general endotracheal anesthesia coronary artery bypass grafting times three was performed. The right internal mammary artery was grafted to the ... | has the patient had atenolol | {
"answer_end": [
862
],
"answer_start": [
820
],
"text": [
"with medications of Atenolol 50 mg po q d,"
]
} | 186_train | with medications of Atenolol 50 mg po q d, | {
"end": 862,
"start": 820
} |
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... | Was the patient ever prescribed tylenol | {
"answer_end": [
2436
],
"answer_start": [
2395
],
"text": [
"Tylenol 650 to 1000 mg PO q. 6h PRN pain,"
]
} | 212_train | Tylenol 650 to 1000 mg PO q. 6h PRN pain, | {
"end": 2436,
"start": 2395
} |
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... | Has patient ever been prescribed inhalers | {
"answer_end": [
1112
],
"answer_start": [
1066
],
"text": [
"the patient was prescribed Flonase Nasal Spray"
]
} | 88_train | the patient was prescribed Flonase Nasal Spray | {
"end": 1112,
"start": 1066
} |
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 treated with methadone | {
"answer_end": [
1233
],
"answer_start": [
1200
],
"text": [
"Lomotil one tablet q.i.d. p.r.n.,"
]
} | 185_train | Lomotil one tablet q.i.d. p.r.n., | {
"end": 1233,
"start": 1200
} |
A 45-year-old male with morbid obesity presented with chest pain and hypertensive urgency. He was ruled out for MI with negative serial enzymes and EKGs and a cardiac PET showed 2 small areas of reversible ischemia in the mid PDA and distal LAD territory. For CV treatment, he was given Aspirin 81mg PO daily, beta block... | What does the patient take lopressor for | {
"answer_end": [
390
],
"answer_start": [
328
],
"text": [
"HCTZ 25mg PO daily and Atenolol 50mg PO daily for HTN control."
]
} | 45_train | HCTZ 25mg PO daily and Atenolol 50mg PO daily for HTN control. | {
"end": 390,
"start": 328
} |
This 54 year old gentleman presented to the Wickpro Conch Medical Center with an infected left lower leg pressure ulcer with open and gangrenous muscle exposed through the posterior wound. His past medical history is significant for insulin dependent diabetes mellitus, peripheral vascular disease, coronary artery disea... | Has the patient taken any medications for his pain management | {
"answer_end": [
1705
],
"answer_start": [
1657
],
"text": [
"Percocet one or two tabs p.o. q3-4h p.r.n. pain,"
]
} | 107_train | Percocet one or two tabs p.o. q3-4h p.r.n. pain, | {
"end": 1705,
"start": 1657
} |
Mr. Legions is a 54 year old professor who presented to Menjack Hospital Medical Center with recurrent substernal chest pain one day after coronary artery bypass graft (5 vessel bypass) 8 years ago. His coronary risk factors include a positive family history and a previous diagnosis of hyperlipidemia. He was given Lova... | has the patient used nitroglycerine in the past | {
"answer_end": [
1336
],
"answer_start": [
1267
],
"text": [
"nitroglycerine as well as continuation of his aspirin and Lovastatin."
]
} | 191_train | nitroglycerine as well as continuation of his aspirin and Lovastatin. | {
"end": 1336,
"start": 1267
} |
Mr. Lewter is a 65-year-old gentleman with a history of non-insulin-dependent diabetes mellitus, hypertension, dyslipidemia, and peripheral vascular disease who presented to Tci Prosamp Memorial Hospital on 5/1/06 with unstable angina. EKG revealed sinus tachycardia with a new incomplete left bundle-branch block and do... | Has the pt. ever been on enteric-coated aspirin before | {
"answer_end": [
2101
],
"answer_start": [
2048
],
"text": [
"Enteric-coated aspirin 81 mg QD, Colace 100 mg b.i.d."
]
} | 139_train | Enteric-coated aspirin 81 mg QD, Colace 100 mg b.i.d. | {
"end": 2101,
"start": 2048
} |
This 75-year-old female vasculopath was admitted for further evaluation of her peripheral vascular disease which was suspected to be contributing to her new ulcerations and progressively worsening bilateral foot pain, foot mottling and wrist pain as an exacerbating factor to likely atheroembolic phenomenon, status post... | What is the current dose of calcitriol | {
"answer_end": [
2855
],
"answer_start": [
2801
],
"text": [
"Calcitriol 1.5 mcg p.o. every Monday and every Friday,"
]
} | 81_train | Calcitriol 1.5 mcg p.o. every Monday and every Friday, | {
"end": 2855,
"start": 2801
} |
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... | What treatments if any has the patient tried for a nonhealing ulcer in the past | {
"answer_end": [
268
],
"answer_start": [
206
],
"text": [
"debridement and antibiotics. An MRA on 10/3/06 demonstrated on"
]
} | 72_train | debridement and antibiotics. An MRA on 10/3/06 demonstrated on | {
"end": 268,
"start": 206
} |
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... | Is the patient currently or have they ever taken coumadin. | {
"answer_end": [
672
],
"answer_start": [
613
],
"text": [
"was started on a heparin drip and transitioned on Coumadin,"
]
} | 216_train | was started on a heparin drip and transitioned on Coumadin, | {
"end": 672,
"start": 613
} |
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