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The nurses report that she has actually improved clinically over the last 24 hours . | [
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She had no difficulty breathing and her cough was described as dry and hacky . | [
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He localizes the pain to the posterior and to a lesser extent the lateral aspect of the shoulder . | [
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He has multiple hospitalizations for leg cellulitis . | [
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HISTORY OF PRESENT ILLNESS : The patient is a 54 - year - old right - handed male who works as a phlebotomist and respiratory therapist at Hospital . | [
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Blood pressure quickly came back to normal with the patient ' s reverse Trendelenburg . | [
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Her blood sugar was found to be 40 because of poor p . | [
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4 in the ER . | [
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intake . | [
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In the first 12 hours after admission , the patient ' s pain decreased and also swelling of his cervical area decreased . | [
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He states he felt a popping sensation on 06/30/04 . | [
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She does seem to comprehend words . | [
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The patient is a very poor historian and is extremely hard of hearing , and therefore , very little history is available . | [
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She denies cough , hemoptysis , dyspnea , and wheeze . | [
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The patient denies any chest pain or difficulty breathing . | [
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The patient had straight rear - ending of the vehicle in front of her . | [
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She states that she has been having a lot of swelling and infection in her inner thigh area with the folliculitis she has had in the past . | [
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2h . | [
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He has had no vomiting or diarrhea . | [
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His bowel movements are yellow colored and soft in nature . | [
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She stated may be she needed to be , meaning taking some medications . | [
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When she has her bladder full , she suddenly has an urge to use the restroom , and sometimes does not make it before she begins leaking . | [
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The patient denies any history of petechiae . | [
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Nobody else at home is currently ill . | [
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7 . | [
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She is having problems with urgency of urine . | [
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The parents also noticed no rashes , just his normal neonatal acne . | [
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The patient had been prescribed Wellbutrin in the past and responded well to it ; however , at that time it was prescribed for obsessive - compulsive type disorder relating to overeating and therefore her insurance would not cover the medication . | [
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to 5 to 10 minutes secondary to his respiratory congestion . | [
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The pain in her abdomen is most significant pain currently and she ranks it at 5 out of 10 . | [
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She is requesting antibiotics . | [
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HISTORY OF PRESENT ILLNESS : Ms . | [
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Night sweats and cough began in December , for which he was treated with a course of Augmentin . | [
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She was fairly congested but looked happy and playful . | [
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The daughter states the patient is in the Life Care Center , and she believes this started this morning . | [
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The patient was admitted and started on IV Unasyn , which he tolerated well and required Morphine and Vicodin for pain control . | [
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HISTORY OF PRESENT ILLNESS : Mr . | [
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o . | [
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There was , however , no evidence of reforming of the false aneurysm . | [
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She has had five children with the first pregnancy occurring at the age of 24 . | [
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She was found to glucose in 30 range , and hypertension . | [
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The patient went to an outside hospital where a right upper quadrant ultrasound showed no gallbladder disease , but was suspicious for a liver mass . | [
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She presents to the emergency room today with elevated blood pressure and extreme nausea and vomiting . | [
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HISTORY OF PRESENT ILLNESS : This 48 - year - old white married female presents in the emergency room after two days of increasing fever with recent diagnosis of urinary tract infection on outpatient treatment with nitrofurantoin . | [
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White blood cell count was slightly low at 4 and platelet count was only 22 , 000 . | [
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HISTORY OF PRESENT ILLNESS : The patient is an 80 - year - old African - American male , very well known to my service , with a past medical history significant for asbestos exposure . | [
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She does have a history of pulmonary embolus and a right lower lobe lobectomy . | [
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In addition , he also developed cardiac complications including atrial fibrillation . | [
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She had smoked one half pack of cigarettes per day for 20 years , but had quit smoking approximately 2 months prior to admission . | [
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She has hypertension . | [
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Seems to eat excellently at noontime , despite this , the patient continues to lose weight . | [
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No other antibiotic therapy was prescribed . | [
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HISTORY OF PRESENT ILLNESS : The patient is an 88 - year - old Caucasian female . | [
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A workup there including chest x - ray , blood cultures , and a transthoracic echocardiogram had all remained nondiagnostic , and were normal . | [
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He was seen in Urology Clinic and Radiology Clinic on MM / DD / YYYY . | [
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0.050308447,
0.02726... |
Her fasting insulin level was normal . | [
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No erythema . | [
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HISTORY OF PRESENT ILLNESS : The patient is a 39 - year - old woman with polymyositis / dermatomyositis on methotrexate once a week . | [
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-0.032405682,
0.029421596,
0.05474... |
The patient was started on ganciclovir once her CMV serologies had come back positive . | [
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0.... |
The friend with her states she is doing very well . | [
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0.01003003,
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0.011424369,
0.0347006... |
Over the last several months there had been chronic drainage of yellowish material from this testicle . | [
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She did report a distant history of pulmonary embolism in 1997 with recurrent venous thromboembolism in 1999 for which an IVC filter had been placed in Germany . | [
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During cycle three , repeat MRI showed interval worsening of disease , and Rituxan was added to her regimen . | [
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She is currently doing a lean and green diet and trying to cut out her bad carb intake . | [
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He was placed on the hospitalist system and was started on continuous nebulized albuterol secondary to his respiratory distress . | [
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Abdominal ultrasound showed mild - to - moderate ascites . | [
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The patient has history of elevated PSA and BPH . | [
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0.0322... |
HISTORY OF PRESENT ILLNESS : This is a 43 - year - old black female who was recently admitted and discharged yesterday for the same complaint . | [
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-0.050720107,
0.037907444,
0.0140... |
When she presented to the office , her weight was 124 pounds , which was approximately 10 pounds below previous weights and even had a weight of 151 . | [
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... |
The patient apparently lives with his wife and was found to have a decreased status since the last one day . | [
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At that time , the patient continued to have signs of a large hematoma and extensive ecchymosis , which resulted from the stereotactic core needle biopsy . | [
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HISTORY OF PRESENT ILLNESS : Briefly , the patient is a 26 - year - old white female with a history of fevers . | [
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0.025... |
He has had a 2 - day history of fever that has gone up to as high as 103 . | [
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There was some question whether she also take her blood pressure medication or not . | [
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In addition , the patient complained of some neck and head discomfort for which she underwent a lumbar puncture in the emergency room ; this was normal , causes turned out to be normal as well . | [
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She also has very poorly controlled hypertension , diabetes mellitus and she also underwent a laparoscopic right adrenalectomy due to an adrenal adenoma in January , 2006 . | [
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She denies any NSAIDs use . | [
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From cardiac standpoint , the patient denies any significant symptom except for fatigue and tiredness . | [
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She is currently on course one , day 14 of 21 of Taxol and carboplatin . | [
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She has made attempts at nonsurgical weight loss and has not been successful . | [
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0.0571194... |
She stated that this first started after she had her first born about 2 years ago . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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0.014342196,
0.014368855,
-0.016381562,
-0.040360752,
-0.0132358745,
0.048944... |
He is also complaining of cough and blood mixed with sputum production , but there is no fever . | [
"O",
"O",
"O",
"O",
"O",
"B-problem",
"O",
"B-problem",
"I-problem",
"I-problem",
"I-problem",
"I-problem",
"O",
"O",
"O",
"O",
"O",
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"O"
] | [
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0.00062762917,
-0.030375494,
-0.0216566,
-0.02423903,
0.019879583,
-0.0074404... |
Because there was no obvious cause of this extensive thrombosis , occult malignancy was suspected . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"O",
"B-problem",
"I-problem",
"O",
"O",
"O"
] | [
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0.030022338,
0.024919039,
0.021657905,
-0.006127071,
-0.025491603,
0.01577044,
0.0310... |
The patient was treated for multiple problems at Jefferson Hospital prior to coming here including abdominal discomfort due to a ureteral stone with resultant hydronephrosis and hydroureter . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"O",
"B-problem",
"I-problem",
"O",
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"O"
] | [
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0.013224265,
0.097660124,
-0.0034510833,
-0.03078927,
0.030711059,
-0.026657093... |
Her measurements for lymphedema wraps have been taken and in my opinion , it is going to be started in a day or two . | [
"O",
"O",
"O",
"B-treatment",
"I-treatment",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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0.043780413,
0.021213189,
0.011142566,
-0.043385483,
-0.032383963,
0.06922495,
0.008998... |
She denied any occupational exposures . | [
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"O"
] | [
-0.0048295646,
-0.0026631497,
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0.026192775,
0.04786055,
-0.012480002,
-0.024307359,
0.020986127,
0.03524... |
Apparently , MRI and a bone scan was performed at that facility , which was reported negative for osteomyelitis . | [
"O",
"O",
"B-test",
"O",
"B-test",
"I-test",
"I-test",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
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"O"
] | [
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0.0031895197,
0.0018854007,
0.008192156,
-0.033226423,
-0.056333125,
0.018697392,
0.0... |
When I asked her what she eats for breakfast and for supper , she states she really does not eat anything . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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-0.029832473,
0.028415198,
0.037662335,
0.009020605,
-0.005721376,
0.017100234,
0.061012... |
He was to be admitted to the Day Hospital for cystectomy . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-treatment",
"O"
] | [
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0.018855479,
0.048658468,
-0.015171963,
-0.027948352,
0.058215,
-0.016434146,
... |
The patient is a nonsmoker . | [
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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0.029005757,
0.021587541,
0.008639019,
-0.022428093,
0.016717669,
0.02038675,
0.0355967... |
The Daypro generic does not seem to be helping at all . | [
"O",
"B-treatment",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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0.03651439,
-0.034537297,
0.013391699,
-0.012611674,
-0.041333545,
0.072843425,
0.04451... |
Cholesterol was 194 , triglycerides 118 , HDL 41 , and LDL 129 . | [
"B-test",
"O",
"O",
"O",
"B-test",
"O",
"O",
"B-test",
"O",
"O",
"O",
"B-test",
"O",
"O"
] | [
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0.03630476,
-0.010804988,
0.044948753,
0.041162904,
-0.026019508,
0.04809998,
0.013863... |
Her only meal that she eats at the nursing home is the noon meal and then I just do not think she is eating much the rest of the time . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
-0.0033686915,
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0.009462759,
0.02725376,
0.054406114,
0.036507364,
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0.012232502,
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0.017125502,
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0.038941186,
0.049741283,
0.0061479416,
-0.024705851,
0.02030722,
0.040538386,
... |
The patient has no complaints . | [
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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0.024214994,
0.017351551,
0.04578384,
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0.018950265,
0.011397723,
-0.044378076,
0.005399103,
0.026681973,
0.0497254... |
She had been living in the United States for years , and had had no recent travel . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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0.018759446,
0.023498416,
-0.015788382,
-0.016831938,
-0.033639323,
0.04483606,
... |
management of respiratory depression with other medical complications . | [
"O",
"O",
"B-problem",
"I-problem",
"O",
"O",
"O",
"O",
"O"
] | [
-0.005881449,
0.06435069,
0.06372075,
0.036124576,
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0.04729388,
-0.0023864994,
-0.0068142437,
0.040291864,
0.02854108,
0.025246015,
0.002506... |
He denied any history of rash . | [
"O",
"O",
"O",
"O",
"O",
"B-problem",
"O"
] | [
-0.005231068,
0.0028990607,
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0.025248056,
-0.03351286,
-0.021236151,
0.009739143,
0.0322086... |
It would initially not be infected as far as she knows , but then could eventually become infected . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"O"
] | [
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-0.076892,
-0.0018433015,
-0.024028752,
-0.024805572,
-0.0015544627,
0.07626001... |
He is being admitted with worsening shortness of breath and constipation . | [
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"I-problem",
"O",
"B-problem",
"O"
] | [
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0.006395101,
-0.00890623,
0.028201913,
0.027056728,
-0.033582903,
0.08361233,
-0.017508918,... |
She has suffered from obesity for a while . | [
"O",
"O",
"O",
"O",
"B-problem",
"O",
"O",
"O",
"O"
] | [
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0.0546163,
0.04197888,
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0.04686912,
-0.0086544445,
-0.047769956,
-0.0014678774,
0.056160584,... |
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