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[
{
"content": "The patient has a family history of prostate cancer and stroke",
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{
"content": " but no history of migraines . <NOTE_END>",
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] |
[
{
"content": "He generally looks well . Vital signs are normal . The skin is intact . His head eyes ears nose throat is clear . The neck is without adenopathy . Chest clear . Heart without gallop . Abdomen without mass . Extremities without edema . Neurological examination intact . LABORATORY EXAMINATION hemato... |
[
{
"content": "Hypothyroidism arthritis hypertension hypercholesterolemia anemia and asthma SURGICAL HISTORY A TAH-BSO in 1980 and an exploratory laparotomy with resection of a pelvic mass in 06 22 MEDICATIONS AT HOME Vicodin 75 750 p.r.n Ultram . Verapamil 240 mg b.i.d. Synthroid 100 mcg q.d HCTZ 25 mg q.d. Art... |
[
{
"content": "The patient was admitted to the Oncology Service on Founder",
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},
{
"content": " &aposs 7 and received intravenous chemotherapy with a 72 hour continuous infusion of 5-FU Vinblastine on day 1 and day 3 and Cisplatinum on day 1 . She tolerated the chemotherapy well with mi... |
[
{
"content": "On presentation her temperature was 98.8 with a heart rate of 100 blood pressure 110 65 respiratory rate 18 and she was saturating at 100 in room air . In general she is well appearing in no acute distress . Head eyes ears nose and throat examination The pupils are equal round and reactive to ligh... |
[
{
"content": "The physical examination on transfer showed an alert male with temperature 100 degrees blood pressure 120 64 heart rate 80 . He was intubated with pressor support of 25 and PEEP of 12.5 with 70 FIO2 . Tracheostomy tube",
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},
{
"content": " was in good position . There was... |
[
{
"content": "Positive for coronary",
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},
{
"content": " artery disease and MI . No history of cancer . <NOTE_END>",
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}
] |
[
{
"content": "Levoxine 0.125 mg PO q.day Vasotec 10 mg PO",
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},
{
"content": " b.i.d. Maxzide 75 50 30 mg PO q.day . <NOTE_END>",
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}
] |
[
{
"content": "She was taken to the operating room on 01 16 2003 for decompression at L2 L5 and laminectomy with posterior instrumented fusion at L3 to L5 . She tolerated the surgery well . She was transferred to recovery room in stable condition . She received blood transfusions intraoperatively and postoperati... |
[
{
"content": "He was a chronically ill appearing elderly man",
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},
{
"content": " with a respiratory rate of 30 temperature 99.6 pulse 100 and irregularly irregular blood pressure 148 71 . He had some petechiae on his extremities as well as in his mucosal membranes with some hemorrhagi... |
[
{
"content": "On",
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},
{
"content": " admission included Percocet Prinovil Dapsone Mycelex troches . <NOTE_END>",
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}
] |
[
{
"content": "Nonischemic dilated cardiomyopathy . MEDICATIONS ON DISCHARGE 1. Digoxin 375 mcg and 250 mcg alternating doses each day . Lisinopril 40 mg p.o. q.d. Toprol XL 75 mg p.o. q.d. Flovent 110 mcg two puffs b.i.d. 5. Albuterol 1-2 puffs q.6h. prn . 6. Coumadin 10 mg p.o. q.h.s. Lasix 40 mg p.o. q.d. Kef... |
[
{
"content": "Toprol 75 mg po bid Furosemide 20 mg po bid times one week potassium chloride 20 mEq po bid while on Lasix Colace 100 mg po bid while on Percocet enteric coated Aspirin 325 mg po q day Indocin 25 mg po bid Sarna cream",
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},
{
"content": " applied to affected area prn Perc... |
[
{
"content": "Mr. Hohlt is a 76 year-old man with a history of hypertension hyperlipidemia and prior myocardial infarction with a percutaneous transluminal coronary angioplasty of the right coronary artery in 2005 at the Cambridge Health Alliance . He states that he has experienced pain and tightness in his bac... |
[
{
"content": "SMA-7 was unremarkable aside form a creatinine of 1.6 and a glucose of 207 otherwise was within normal limits . Hematocrit was 22.4 white count .59 platelets 84. The patient had an absolute neutropenia with a ANC of 318 differential revealed 48 segs 6 bands 40 lymphs 4 monos . Digoxin level was 1.... |
[
{
"content": "Aortic",
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},
{
"content": " stenosis . Coronary artery disease . Type I diabetes mellitus . Peripheral vascular disease . <NOTE_END>",
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] |
[
{
"content": "Severe blunt abdominal trauma with rupture of liver left renal vein pancreas and transverse mesocolon . SPECIAL PROCEDURES AND OPERATIONS 1. 7-2-93 emergency room exploratory laparotomy repair of liver laceration repair of torn transverse mesocolon repair of serosal tear of transverse colon ligati... |
[
{
"content": "Imdur 120 mg. PO q.d. Captopril 100mg. PO t.i.d. Lasix 80 mg. PO q.d. Potassium chloride 40 mEq. PO q.d. Coreg 12.5 mg. b.i.d. Cozaar 100 mg. b.i.d. Plavix 75 mg. q.d. Allopurinol 300 mg. q.d. Pulmacort and Serevent inhalers 2 puffs b.i.d. Zocor 20 mg. q.d. Prilosec 20 mg. q.d. Colace 100 mg. t.i.... |
[
{
"content": "HCV ETOH Cirrhosis H O SBP Esoph Varices Grade I Depression H O IVDU Heroin Recurrent ARF H O Seizure Chronic LBP Anemia Social History The patient lives with his two sons Charles quit using Cocaine ETOH and IV Heroin two years ago and his son is unaware of any relapses .",
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},... |
[
{
"content": "Breast cancer status post lumpectomy Mitral commissurectomy . Atrial fibrillation Peripheral vascular disease . Arterial emboli left femoral artery Congestive heart failure . MEDICATIONS ON TRANSFER Lopressor intravenous q 6 hours . Morphine Sulfate 1 mg intravenous p.r.n. ALLERGIES",
"role": ... |
[
{
"content": "The patient was admitted to the Verg Medical Center . Subsequent exercise treadmill test demonstrated no evidence of ischemia by EKG . The patient was subsequently taken to the operating room where he underwent a reoperative coronary artery bypass graft times three with a subaortic proximal graft ... |
[
{
"content": "As described above the patient was transfused an additional 2 units in the Intensive Care Unit and the patient also received an upper endoscopy study and her varices were banded .', 'On transfer to the Lemgarson Hospital service her hematocrit was 31.2 white count 11.1 and a platelet count 80 . He... |
[
{
"content": "On 3-27-93 patient underwent cardiac catheterization coronary and left ventricular angiography without complications . Review of these angiograms demonstrated a dominant right coronary artery with a focal 50 stenosis in the mid-portion . The left main coronary artery was clear . The left anterior ... |
[
{
"content": "Severe blunt abdominal trauma with rupture of liver left renal vein pancreas and transverse mesocolon . SPECIAL PROCEDURES AND OPERATIONS 1. 7-2-93 emergency room exploratory laparotomy repair of liver laceration repair of torn transverse mesocolon repair of serosal tear of transverse colon ligati... |
[
{
"content": "UPON ADMISSION TO THE CMED CCU Birth weight was 3850 grams . Head circumference was 41 cm . HEENT was significant for swelling of the scalp tissue in generalized distribution with ecchymosis extending from the occiput to the posterior auricular area and dorsal aspect of the neck to the mid cervica... |
[
{
"content": "Patient was stable with complete clearance of her mental status advancement of her diet blood pressure and heart rate remained stable and her oxygen saturations were well above 90 during the daytime on 2 liters nasal cannula and at night on the BiPAP settings described above . Physical Therapy con... |
[
{
"content": "White blood cell",
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},
{
"content": " count 11.5 hematocrit 31.0 platelet count 290 000 . INR 3.0 . Potassium was 3.0 glucose 131 . MR studies revealed a large left middle cerebral artery infarction with multiple smaller posterior circulation infarctions . <NOTE_END>",
... |
[
{
"content": "The patient is a seventy two year old man who a number of years ago underwent coronary bypass surgery at another institution . This took place in 1983 . In 1992 he underwent redo surgery and aortic valve replacement . In April 1994 he presented with an acute inferior myocardial infarction and was ... |
[
{
"content": "Negative for headaches vision changes numbness tingling dyspnea hematuria abdominal pain diarrhea melena or hematochezia . PAST MEDICAL HISTORY Obesity hypertension lower extremity cellulitis and edema breast cancer in 1988 treated with right lumpectomy and XRT partial thyroidectomy in 1963 osteoa... |
[
{
"content": "The patient was admitted to the Fairm of Ijordcompmac Hospital on the Neurological Surgery Service of Lupevickette L. Ca M.D. Prior to his admission the patient &aposs gunshot wound was sutured",
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},
{
"content": " close in the emergency room . The patient was placed on s... |
[
{
"content": "white blood",
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},
{
"content": " count 6.2 hemoglobin 12.4 hematocrit 36.1 platelet count 265 000 . The liver function tests were within normal limits . BUN 8 creatinine 0.9 . <NOTE_END>",
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}
] |
[
{
"content": "Temperature was 100.3 F. heart rate was 115 . In general in no acute distress .",
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},
{
"content": " Alert and oriented times three . HEENT Extraocular movements are intact . Pupils equally round and reactive to light and accommodation bilaterally . Oropharynx clear . Muc... |
[
{
"content": "Mr. Factor is a 76 year old white male with acute inferior myocardial infarction who was urgently transferred by Dr. Lenni Factor for cardiac catheterization and possible angioplasty . His only cardiac risk factor includes hypertension . The night of Oct 14 1999 the patient developed chest discomf... |
[
{
"content": "No history",
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},
{
"content": " of GYN cancers or breast cancer . <NOTE_END>",
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}
] |
[
{
"content": "Lopressor 25 mg p.o. b.i.d. Lasix 20 mg p.o. q. 12 hours times seven days . 3. Potassium chloride 20 mEq p.o. q. 12 hours times seven days . Colace 100 mg p.o. b.i.d. Metformin 500 mg p.o. b.i.d. Percocet 5 325 one to two tablets p.o. q. four to six hours p.r.n. Celexa 20 mg p.o. q.d. Lipitor 20 m... |
[
{
"content": "He is allergic to Penicillin Inderal and also to Procan . Patient has a seventy pack year history of smoking which he quit ten",
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},
{
"content": " years ago and he has previously had problems with alcohol . <NOTE_END>",
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}
] |
[
{
"content": "at time of admission the blood pressure 100 65 head eyes ears nose throat no masses neck revealed lymphadenopathy . The lungs were clear heart normal . Abdomen liver",
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},
{
"content": " massively enlarged down 15 cm . Extremities normal neurological examination generally... |
[
{
"content": "The patient is an 84 year old",
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},
{
"content": " male with a history of hypertension who was discovered to have an asymptomatic 7 cm abdominal aortic aneurysm on CT scan obtained in the emergency room back in May . At that time he had presented with abdominal pain and w... |
[
{
"content": "Aspirin 325 mg. PO q.d. Lipitor 80 mg. PO q.d. Toprol XL 50 mg. PO q.d. Lasix 80 mg. q.a.m. and 40 mg. q.p.m. Potassium chloride 20 mEq. PO b.i.d. Citracal 1 packet q.d. Imdur 60 mg. PO q.d. Vitamin E 400 international units q.d. Prilosec 20 mg. PO q.d. HISTORY OF PRESENT ILLNESS Breunlinke is a 7... |
[
{
"content": "A quantitative V Q scan was also done preoperatively and Pulmonary consult was obtained preoperatively . Pulmonary recommended that he just be started on Albuterol",
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},
{
"content": " and Atrovent metered dose inhalers 2 puffs q6h prior to surgery . The patient underwent... |
[
{
"content": "The patient",
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},
{
"content": " has no known drug allergies . MEDICATIONS ON ADMISSION Tylenol Ciprofloxacin and Insulin about 16 units of NPH qa.m. <NOTE_END>",
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}
] |
[
{
"content": "Sandostatin 100 mcg subcu. b.i.d. Percocet 1-2 tabs q.3 -4h. p.r.n. pain Axid 150 mg p.o. b.i.d. Colace 100 mg p.o. b.i.d. DISCHARGE FOLLOW-UP The patient has been instructed to follow-up with Dr. Red in one week and in the Urology Clinic in three weeks . DISCHARGE DISPOSITION The patient is disch... |
[
{
"content": "Weight 3.325 kg length was 20 inches i.e. 51 cm head circumference 34.5 cm . Nondysmorphic infant . Active pink newborn in no distress on radiate warmer . Anterior fontanel soft and flat . Palate and clavicles intact . Neck supple . Lungs clear to apex and equal . CARDIOVASCULAR Regular rate and r... |
[
{
"content": "Levoxine",
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},
{
"content": " 0.125 mg PO q.day Vasotec 10 mg PO b.i.d. Maxzide 75 50 30 mg PO q.day . <NOTE_END>",
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}
] |
[
{
"content": "The patient is a 79-year-old man status postradical cystoprostatectomy with ileal loop for locally invasive prostate cancer . This operation was performed 2 11 02 by Dr. Doje Para . The postoperative course was complicated by atrial fibrillation with transfer to the Cardiac Step-Down Unit . This t... |
[
{
"content": "The vital signs showed a temperature of 96.8 heart rate 80 blood pressure 180 78 respiratory",
"role": "user"
},
{
"content": " rate 18 and she was satting 95 percent on two liters nasal cannula . In general the patient was resting comfortably in bed with a visible tremor of her right ... |
[
{
"content": "Methylphenidate 5 mg p.o. q.d. Lasix 40 mg p.o. b.i.d. Captopril 50 mg p.o. t.i.d. Glyburide 10 mg p.o. b.i.d. Miconazole powder 2 apply q.i.d. p.r.n. Paxil 20 mg p.o. q.d. Albuterol nebulizer solution one nebulizer q. four hours . Metoprolol 100 mg p.o. t.i.d. Heparin 5 000 units subcutaneously q... |
[
{
"content": "On admission the patient s vital signs were stable . Her blood pressure was 102 82",
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},
{
"content": " . Her heart rate was 71 . Her SPO2 was 98 percent on room air . MEDICATIONS ON ADMISSION 1. Plavix 75 mg times 6 doses . Xanax q.d. Prozac 20 mg q.d. Cyclobenzaprine 10... |
[
{
"content": "He generally looks well . Vital signs are normal . The skin is intact . His head eyes ears nose throat is clear . The neck is without adenopathy . Chest clear . Heart without gallop . Abdomen without mass . Extremities without edema . Neurological examination intact . LABORATORY EXAMINATION hemato... |
[
{
"content": "Tylenol 3 Xanax Ciprofloxacin Flagyl . TVI POST M.D. DICTATING",
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},
{
"content": " FOR REG V. POST M.D. TR xr bmot DD 1-4-94 TD <NOTE_END>",
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}
] |
[
{
"content": "The sodium was 142 potassium 4.5 chloride 105 bicarbonate 27 BUN and creatinine 31 and 1.3 glucose 107 total protein 7.7 albumin 3.2 globulin 4.5 uric acid 4.2 alkaline phosphatase 114 serum glutamic oxaloacetic transaminase 46 lactic acid dehydrogenase 370 white blood count 11 000 with 83 polymor... |
[
{
"content": "The patient was admitted to the surgical intensive care unit where a continued cerebral angiogram was done that was essentially normal without evidence of any obvious aneurysm . The patient was observed for two days with a repeat CT scan showing no changes from the previous examination . The heada... |
[
{
"content": "No known drug allergies . MEDICATIONS ON ADMISSION According to his pharmacy he was on 1. OxyContin",
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},
{
"content": " 40 mg p.o. q 12hours . Percocet . Nortriptyline . Neurontin 1800 mg four times a day <NOTE_END>",
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}
] |
[
{
"content": "The patient was transferred to Medical Intensive Care Unit for further management for acute GI bleed . 1. Gastrointestinal bleed The patient continued to receive blood transfusions on the floor and serial hematocrits with serial INR checks were drawn . As he was receiving his third unit of packed ... |
[
{
"content": "Patient is being sent home on Ecotrin one q.d. Digoxin 0. l25 mg every three days Quinidine 648 mg q.a.m. and 324 mg q.p.m. and q.h.s. Mevacor 20",
"role": "user"
},
{
"content": " mg p.o. q.d. Carafate one gram p.o. q.i.d. Colace l00 mg p.o. t.i.d. Lasix 80 mg p.o. q.d. Potassium 20 m... |
[
{
"content": "The patient is a 48-year-old white man who is 20 days status post orthotopic cardiac transplant who was readmitted for sternal wound infection . He has insulin dependent diabetes mellitus and a history of a dilated cardiomyopathy . He had progressive symptoms of congestive heart failure which led ... |
[
{
"content": "Non contributory and unavailable as she is adopted . PHYSICAL EXAMINATION She is an obese",
"role": "user"
},
{
"content": " elderly woman in no acute distress . vital signs 158 60 with a heart rate of 85 temperature 99.7 respirations 14 . Her neck showed no JVD . Lungs clear to auscul... |
[
{
"content": "The patient is a 43-year-old gravida II para II white female referred by Dr. Ca Shuff for evaluation . She was in her usual",
"role": "user"
},
{
"content": " state of good health until December when she was seen emergently for treatment of a perforated colon cancer . That area was res... |
[
{
"content": "Admission sodium of 136 potassium 3.8 chloride 99 bicarbonate 27.3 BUN and creatinine of 13 and 0.6 glucose 86 calcium 9.3 liver function tests notable for an albumin of 2.5 globulin 4.5 . The complete blood count on admission showed a white blood count of 14.5 hematocrit 31.0 hemoglobin 10.3 and ... |
[
{
"content": "The patient was medically managed initially and then underwent on 2013-08-09 coronary artery bypass grafting x2 and a mitral valve annuloplasty with placement of intra-aortic balloon pump . He was transferred to the Intensive Care Unit in relatively stable condition . On postoperative day 1 his ba... |
[
{
"content": "DISCHARGE DISPOSITION To",
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},
{
"content": " home . <NOTE_END>",
"role": "assistant"
}
] |
[
{
"content": "Coronary artery disease status post coronary artery bypass grafting times 4 with LIMA to the LAD saphenous vein graft to OM1 saphenous vein graft to OM2 and saphenous vein graft to the diagonal . Hypertension . Hypercholesterolemia . Status post partial thyroidectomy . Status post hernia repair . ... |
[
{
"content": "Notable for a sodium of 145 potassium 3.6 BUN",
"role": "user"
},
{
"content": " 23 creatinine 1.3 glucose 104 hematocrit 42 white count 8.7 platelet count 235 and a PT of 12.9 seconds . The urinalysis was negative . The Troponin I was less than .4 and the creatine kinase was 114 . Che... |
[
{
"content": "Was discharged on 11 16 2003 in stable condition with the last recorded hematocrit of 31.3 . He was",
"role": "user"
},
{
"content": " asked to continue on his Nexium iron and vitamin C and was continued on his other home medications . <NOTE_END>",
"role": "assistant"
}
] |
[
{
"content": "82 119 60 22 and 99 on room air . Well appearing in no apparent distress . Pupils are equal round and reactive to light . Moist mucous membranes . No JVD . Regular rate and rhythm .', 'Positive tenderness to sternum . Chest was clear to auscultation bilaterally . Abdomen Obese soft . Extremities s... |
[
{
"content": "The patient was admitted for intravenous antibiotics and a question of evaluation of circulation to the left great toe and also possible debridement and possibly a toe amputation . The patient had the following radiological studies 08-27-92 left foot film correlation patient consistent with osteom... |
[
{
"content": "ON ADMISSION Temperature 98.8 heart rate 68 blood",
"role": "user"
},
{
"content": " pressure 107 82 and oxygen saturation 99 on room air . CHEST Clear to auscultation . HEART Regular rate and rhythm with no murmurs . ABDOMEN Soft mildly distended and tympanic with midepigastric tender... |
[
{
"content": "On examination on transfer to the Intensive Care Unit she is febrile with a low grade temperature of 100.1 tachycardic to 110 hypotensive 85 49 tachypneic into the 50 s and 60 s 95 on nonrebreather . In general she is extremely tachypneic difficulty in speaking words . Her heart is regular without... |
[
{
"content": "Lopressor 100 mg p.o.b.i.d. Lisinopril 10 mg p.o.q.d. Lipitor 10 mg p.o.q.d. Aspirin 81 mg p.o.q.d. Percocet one to two tablets p.o.q. 3-4 h. p.r.n. pain . Colace 100 mg p.o.b.i.d. DISCHARGE PHYSICAL EXAMINATION The patient had a temperature of 98.4 heart rate 72 blood pressure 154 89 respiratory ... |
[
{
"content": "Triamcinolone one tablet PO b.i.d. dosage unknown Xanax one tablet PO t.i.d. prn anxiety dosage unknown MS Contin prn . PAST MEDICAL HISTORY Distant peptic ulcer disease thumb and middle finger",
"role": "user"
},
{
"content": " lost secondary to lawnmower accident at age five years no... |
[
{
"content": "The patient was admitted to the hospital and received two units of packed red blood cells for her hematocrit of 26 and had a magnesium repleted . The patient received three days of chemotherapy consisting of 45 mg. of Cisplatin 160 mg. of VP 16 and tolerated chemotherapy resonably well . Serial PT... |
[
{
"content": "1. cerebrovascular accident . The patient suffered some mild weakness which was attributed to stenosis of the distal right internal carotid artery . This was determined by head CT head MRI head MRA carotid noninvasive studies transcranial Dopplers . The possibility of a cardiac origin was evaluate... |
[
{
"content": "Hyperthyroid disease status post radioactive iodine ablation now hypothyroid on Levoxyl History",
"role": "user"
},
{
"content": " of pulmonary embolism etiology unknown . It was thought to be induced by frequent flying to California The patient was started on Coumadin five months prio... |
[
{
"content": "The patient was a 71 year old white female with a history of carcinoid lung cancer who presented for evaluation of a tracheoesophageal fistula . The patient was initially diagnosed in 1978 with atypical small cell carcinoma of the lung and treated with chemotherapy and radiation therapy until 1980... |
[
{
"content": "The patient is a pleasant elderly female in no acute distress . Her vital signs showed a blood pressure of 126 72 pulse 84 respirations 22 temperature 98.6 . She had a 3 x 4 cm firm nontender right thyroid mass that seemed to be fixed to the trachea . She had no jugular venous distention or bruits... |
[
{
"content": "The patient was admitted on 07 20 99 for a history of left chest wall pain from postthoracotomy syndrome . The patient developed the syndrome after her thoracic aortic aneurysm repair . The patient failed the conservative therapy and is admitted for",
"role": "user"
},
{
"content": " a... |
[
{
"content": "PHYSICAL EXAM VITAL SIGNS He was afebrile with stable vital signs HEART Regular rate and rhythm with a 2 out of 6 systolic ejection murmur heard loudest at the apex . LUNGS Clear to auscultation . ABDOMEN Soft nontender",
"role": "user"
},
{
"content": " nondistended . EXTREMITIES No c... |
[
{
"content": "Breast cancer status post lumpectomy Mitral commissurectomy . Atrial fibrillation Peripheral vascular disease . Arterial emboli left femoral artery Congestive heart failure",
"role": "user"
},
{
"content": " . MEDICATIONS ON TRANSFER Lopressor intravenous q 6 hours . Morphine Sulfate 1... |
[
{
"content": "Cefuroxime 1.5 grams intravenously q8h Solu-Medrol 62.5 mg intravenously q8h Ventolin metered dose inhaler 2 puffs",
"role": "user"
},
{
"content": " PO q.i.d. Pepcid 20 mg intravenously b.i.d. <NOTE_END>",
"role": "assistant"
}
] |
[
{
"content": "celexa premarin trazodone 6-MP Prednisone Discharge Medications 1. Phenytoin Sodium Extended 100 mg Capsule Sig One 1 Capsule PO TID 3 times a day for 1 months . Disp 90 Capsule s Refills 0 2. Acetaminophen Caff Butalbital 504-61-78 mg Capsule Sig 01-28 Tablets PO Q4-6H every 4 to 6 hours as neede... |
[
{
"content": "Tylenol 650 mg p.o. q. 4 -6h p.r.n. headache or pain acyclovir 400 mg p.o. t.i.d. acyclovir topical t.i.d. to be applied to lesion on corner of mouth Peridex 15 ml p.o. b.i.d. Mycelex 1 troche p.o. t.i.d. g-csf 404 mcg subcu q.d. folic acid 1 mg p.o. q.d. lorazepam 1-2 mg p.o. q. 4 -6h p.r.n. naus... |
[
{
"content": "By systems Respiratory . After receiving brief blow by oxygen in the delivery room the patient had no further episodes of ventilatory assistance required with good respiratory rate consistently . The patient was never placed on caffeine . He is stable in room air at this time . Cardiovascular . No... |
[
{
"content": "Significant for sodium 140 potassium 3 BUN 35 creatinine 3.6 liver function tests within normal limits calcium 6.6 albumin 2 magnesium1.4 PT 14 white count 30.1 with 77 polys 13 bands 5 lymphs and 5 monos . Urine sodium is 75 urine creatinine 143 urine osmose 392 .",
"role": "user"
},
{
... |
[
{
"content": "Father died at age 56 of coronary artery disease . Mother died at age 68 of pancreatic carcinoma . Brother has coronary",
"role": "user"
},
{
"content": " artery disease . There is no family history of hematologic problems . LABORATORY Laboratory studies on admission were notable for a... |
[
{
"content": "ON ADMISSION Birth weight 1455 grams 50th percentile head circumference 29.25 cm 50th percentile length 41.5 cm 50th percentile . Nondysmorphic with overall appearance consistent with gestational age . Anterior fontanel soft open flat red reflex present bilaterally palate intact . Intermittent gru... |
[
{
"content": "The patient is an 83 year-old male with a history of diabetes steroid-treated polymyalgia rheumatica hypertension benign prostatic hypertrophy and high cholesterol without presented to the hospital for lower extremity angiograph however that was deferred due to new onset renal failure . 1. RENAL F... |
[
{
"content": "By systems Respiratory Pocasset was admitted to the newborn intensive care unit with mild respiratory distress . Chest x-ray revealed a left pneumothorax which resolved on its own without intervention . The infant has remained in room air throughout her hospital course with occasional apnea and br... |
[
{
"content": "Significant for glaucoma right knee",
"role": "user"
},
{
"content": " arthroscopic surgery in 1988 appendectomy dilation and curettage times two and a hiatus hernia <NOTE_END>",
"role": "assistant"
}
] |
[
{
"content": "Non contributory and unavailable as she is adopted . PHYSICAL EXAMINATION She is an obese elderly woman in no acute distress . vital signs 158 60 with a heart rate of 85 temperature 99.7 respirations 14 . Her neck showed no JVD . Lungs clear to auscultation . Her abdomen was obese and distended wi... |
[
{
"content": "Factor 8 deficiency . Subgaleal hemorrhage resolved . Small occipital subdural hemorrhage resolved Reviewed By Mavis W. Mobley M.D. 21 -114 Dictated By William A. Hunter M.D. MEDQUIST36 D 2012-05-18 1358 T",
"role": "user"
},
{
"content": " 2012-05-18 1422 JOB 93716 Signed electronical... |
[
{
"content": "Sodium 140 potassium 4.0 chloride 104 CO2 28 BUN 14 creatinine 1.1 glucose 243 . Cholesterol 197 triglycerides 118 HDL 31 LDL 142 total protein",
"role": "user"
},
{
"content": " 6.2 bilirubin 1.0 alkaline phosphatase 72 SGOT 23 . Hematocrit on admission was 43 with a white blood count... |
[
{
"content": "Morphine prn . Ativan prn . Tylenol prn . Albuterol and Atrovent nebs",
"role": "user"
},
{
"content": " prn . Rice S.F. Thrash M.D. 15-419 Dictated By Brett E.X. Im M.D. MEDQUIST36 D 2012-06-29 0115 T 2012-06-29 0547 JOB 44693 Signed electronically by DR. Vicki Baker on TUE 2012-07-03... |
[
{
"content": "The patient is an 82 year-old right handed",
"role": "user"
},
{
"content": " gentleman who has a past medical history of hypertension and tobacco use presented to the emergency room with acute change in mental status . He was well until the evening prior to presentation to the emergen... |
[
{
"content": "The past medical history",
"role": "user"
},
{
"content": " was significant for left shoulder surgery in 2014-03-06 for repair of a minor rotator cuff tear and removal of osteophytes Otherwise the past medical history was insignificant . MEDICATIONS ON ADMISSION The patient was on no m... |
[
{
"content": "Spironolactone 50 mg p.o. b.i.d. 2 Advil p.r.n. 3 Topical steroids for eczema p.r.n. ALLERGIES The",
"role": "user"
},
{
"content": " patient had no known drug allergies . <NOTE_END>",
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}
] |
[
{
"content": "Aspiration pneumonia bilateral multiple strokes chronic atrial",
"role": "user"
},
{
"content": " fibrillation prostatic hypertrophy with gross hematuria . <NOTE_END>",
"role": "assistant"
}
] |
[
{
"content": "Tylenol 650 mg p.o. q. 4 -6h p.r.n. headache or pain acyclovir 400 mg p.o. t.i.d. acyclovir topical t.i.d. to be applied to lesion on corner of mouth Peridex 15 ml p.o. b.i.d. Mycelex 1 troche p.o. t.i.d. g-csf 404 mcg subcu q.d. folic acid 1 mg p.o. q.d. lorazepam 1-2 mg p.o. q. 4 -6h p.r.n. naus... |
[
{
"content": "Aspirin 325 mgs PO q.d. Prilosec 20 mgs PO q.d. Azmacort 2 puffs q.i.d. PRN Atrovent 2 puffs q.i.d. PRN heparin 5 000 units subcu. b.i.d. Digoxin 0.125 mgs PO q.d. Wellbutrin 37.5 mgs PO b.i.d. Kaopectate PRN Betoptic 0.25 OU q.d. Ritalin 10 mgs",
"role": "user"
},
{
"content": " PO q.... |
[
{
"content": "1 Cardiovascular The patient was admitted for rule out myocardial infarction . She remained on telemetry for greater than 48 hours which demonstrated no dysrhythmia during this time . The patient underwent an echocardiogram which demonstrated a preserved ejection fraction with left ventricular hyp... |
[
{
"content": "The patient is a 43-year-old gravida II para II white female referred by Dr. Ca Shuff for evaluation . She was in her usual state of good health until December when she was seen emergently for treatment of a perforated colon",
"role": "user"
},
{
"content": " cancer . That area was res... |
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