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A Doppler ultrasound of her leg that was performed today noted a DVT . | [
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The patient does have a past medical history of diabetes and hypertension . | [
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There are no family members with a history of ovarian cancer . | [
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Actually the night before , he fell off his wheelchair and had lacerations on the face . | [
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6 degrees F . | [
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Because of the above symptoms , the patient was admitted to the hospital for further care . | [
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She voided on the day of admission . | [
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At the present time , he is admitted for continued | [
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The patient has not been getting Sinemet and his other home medications in the last 2 days . | [
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The child has had very severe ear pain and blood draining from the right ear . | [
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A has updated the family to her extremely guarded and critical prognosis . | [
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She states that she has been compliant , but her symptoms have not been controlled . | [
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His history is significant as mentioned below . | [
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He had been diagnosed with osteoarthritis of the knees and had undergone arthroscopy years prior to admission . | [
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She would usually have pustular type of lesion that would eventually break and would be quite painful . | [
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She was taken by Dr . | [
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She had biopsies done . | [
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Over the two years prior to admission , he has been having a gradually worsening non - productive cough associated with shortness of breath . | [
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He had a cystoscopy performed and a left ureteral stone was removed as well as insertion of a left ureteral stent on 07/23/2008 . | [
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She follows up at the wound care center at Hospital . | [
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XYZ really did help . | [
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She has had no fevers , chills , or sweats . | [
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DVT prophylaxis was initiated with Lovenox . | [
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On MM / DD / YYYY , she was admitted to the ED with nausea and vomitting and was admitted to the Hematology and Oncology A Service following her first course of chemotherapy . | [
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After the patient was seen in the office on August 10 , she persisted with high fevers and was admitted on August 11 to Cottonwood Hospital . | [
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Studies done at Cottonwood : CT scan of the chest , abdomen , and pelvis . | [
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She had her last course of chemotherapy on MM / DD / YYYY followed by radiation treatment to the ethmoid sinuses on MM / DD / YYYY . | [
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She is wanting to consider treatment for prevention of further compression fractures and possible osteoporosis . | [
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She does not have history of diabetes . | [
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She clears her plate at noon . | [
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I think the last steroid injection that she had with Dr . | [
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Excisional lymph node biopsy during that admission showed multicentric Castlemans Disease . | [
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Her lower extremity edema is being managed there . | [
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A stent was placed approximately 6 weeks ago after urethroscopic placement with some difficulty . | [
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This progressed with a gradual worsening in his functional capacity such that he is presently unable to walk for more than 25 feet . | [
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X to the operating room . | [
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She was seen by Dr . | [
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The CBC was normal with a white count of 9 . | [
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The drainage would be malodorous . | [
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HISTORY OF PRESENT ILLNESS : The patient is a 38 year old white female with no known medical problems who presents complaining of abdominal pain and discomfort for 3 weeks . | [
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"O",
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0.0373... |
It should be noted that on her hospital admission she would have times where she would feel extremely sick to her stomach , and then soon after she would be witnessed going outside to smoke . | [
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0.00300485... |
His workup so far has been negative . | [
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"O",
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At present , it is not known yet , we do not have the STAT echocardiogram , if she has a large clot in the heart or if she could have a patent foramen ovale clot in the legs that has been passed to the heart . | [
"O",
"O",
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HISTORY OF PRESENT ILLNESS : The patient is an 11 - year - old male who was admitted from the ER after a CT scan suggested that the child had mastoiditis . | [
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The patient also has a positive history of smoking in the past . | [
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The patient usually still takes her diabetic medication . | [
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0.021069... |
HISTORY OF PRESENT ILLNESS : This 10 - and - 4 / 12 - year - old Caucasian female has autism and is enrolled at ABC School , and she takes Adderall and clonidine for her hyperactivity . | [
"O",
"O",
"O",
"O",
"O",
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0.03171892,
0.0015769... |
The family history is positive involving a daughter who was diagnosed with breast cancer at the age of 40 . | [
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As per the patient , no prior cardiac history . | [
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No aggravating or relieving factors . | [
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She underwent her procedure . | [
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She was afebrile . | [
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However , the CRP was relatively elevated at 6 . | [
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As her lymphedema was not improving on therapy at that facility , she was referred for admission to Long - Term Acute Care Facility for lymphedema management . | [
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HISTORY OF PRESENT ILLNESS : The patient is a 34 year old white man with AIDS ( CD4 - 67 , VL - 341K ) and Castlemans Disease who presents to the VA Hospital complaining of headaches , neck pain , and lower back pain over the last 2 - 3 weeks . | [
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He denied diarrhea or constipation , changes in his urinary habits , rashes or skin changes , arthritis , arthralgias , abdominal pain , headache or visual changes . | [
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Subsequent weaning was unsuccessful . | [
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She states she has been feeling well . | [
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It seems to be all over decreasing her mobility , hands and wrists . | [
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ABC is a 60 - year - old white male veteran with multiple comorbidities , who has a history of bladder cancer diagnosed approximately two years ago by the VA Hospital . | [
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-0.04247867... |
Results : CT chest showed mild bibasilar pleural - based interstitial changes . | [
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0.02062188... |
HISTORY OF PRESENT ILLNESS : A 77 - year - old white female who is having more problems with joint pain . | [
"O",
"O",
"O",
"O",
"O",
"O",
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0.028383875,
0.061251644,
-0.0027389806,
-0.019021286,
0.024887005,
0.05039... |
She has had fairly normal lipid panel , last being checked on 11/26/2003 . | [
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-0.022765173,
0.00021299749,
0.03722731... |
Her knees are not hurting her at all anymore and she is not needing Bextra any longer . | [
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0... |
Other serologies and her PPD stayed negative . | [
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... |
He denied trauma to this area . | [
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He was intubated and placed on mechanical ventilatory support . | [
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-0.036... |
She has had multiple episodes of cellulitis of the lower extremities for which she has received treatment with oral Bactrim and ciprofloxacin in the past according to her . | [
"O",
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"O",
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... |
HISTORY OF PRESENT ILLNESS : A 47 - year - old Latin American man presented to the emergency room after being told to come in for a high potassium value drawn the previous day . | [
"O",
"O",
"O",
"O",
"O",
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"O",
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0.00350728,
0.024354... |
The patient was not started on any antibiotics and his fever resolved . | [
"O",
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0.020257583... |
HISTORY OF PRESENT ILLNESS : Ms . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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X . | [
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0.009007877,
... |
ABC is a 27 - year - old woman who apparently presented with complaint of symptomatic cholelithiasis . | [
"O",
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"O",
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0.014162671,
0.0367851... |
He was taken by family members to the Iredell County Hospital , where he was initially evaluated . | [
"O",
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No symptoms of chest pain or shortness of breath . | [
"O",
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"O",
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"I-problem",
"O",
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0.0293... |
Other than her age , the patient has no other risk factors for development of breast cancer . | [
"O",
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0.02650866... |
HISTORY OF PRESENT ILLNESS : The patient is an 85 - year - old male who was brought in by EMS with a complaint of a decreased level of consciousness . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
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She developed constipation one week prior to admission and mother gave her MiraLax and her constipation improved . | [
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I was called to see the patient in the emergency consultation in the breast center . | [
"O",
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"O",
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6 . | [
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Dr . | [
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By the time they got here , she was in severe pain and had fever . | [
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"O",
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"O"
] | [
0.018887922,
0.007481728,
-0.041815057,
0.025979498,
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0.032726824,
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0.0016753563,
0.028022056,
-0.010614415,
0.012381571,
-0.023168113,
-0.009501336,
0.0055108895,
0.0020468608,
0.046336226,
0.018187944,
-0.030776067,
0.038670897,
0.012... |
She has Gazelle , I believe , and she was going out with her husband bring it up for her to utilize . | [
"O",
"O",
"B-treatment",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
-0.00738139,
0.028039219,
-0.022898953,
0.027729563,
-0.027234117,
0.0015550464,
-0.028828837,
0.059298843,
0.015072434,
-0.024230467,
0.0208862,
-0.013640283,
0.03957385,
-0.032235038,
0.0064717797,
0.0117204245,
-0.018362515,
-0.030624833,
-0.03963578,
0.040286057,
0.048058... |
He was an unhelmeted passenger on ATV when the driver lost control and the ATV rolled over throwing the passenger and the driver approximately 5 to 10 meters . | [
"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"
] | [
-0.0019630487,
0.011489794,
-0.01381033,
0.008686334,
-0.02215172,
-0.01107586,
-0.0019097391,
-0.0051177246,
0.051980026,
-0.0036626852,
-0.016707866,
-0.054739583,
0.011057044,
-0.0039041466,
0.021888308,
-0.014249351,
0.022866696,
-0.0057480326,
-0.06351999,
0.025513362,
-... |
The morning of 02/19/2007 , he awakened with severe right inguinal and right lower quadrant pain . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"I-problem",
"I-problem",
"I-problem",
"I-problem",
"I-problem",
"O"
] | [
-0.03604055,
0.033600956,
0.057544153,
0.022232968,
0.011367988,
-0.004640252,
0.050854143,
0.045648005,
-0.010437422,
-0.0038102882,
-0.015517807,
0.022547347,
-0.013065641,
0.029048732,
0.022685675,
0.037851375,
0.061769422,
-0.02354079,
-0.06222213,
0.062020928,
0.00061107... |
HISTORY OF PRESENT ILLNESS : A 23 - year - old female who is approximately 5 months ' pregnant , who has had recurrent abscesses in the above - mentioned areas . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
0.0055895653,
0.022951493,
0.08331616,
0.06971137,
-0.04790679,
0.022925127,
0.040102493,
-0.015331755,
-0.043714616,
-0.0093137445,
0.0065486236,
-0.04798589,
-0.04785406,
-0.013360906,
0.015054913,
0.023716103,
0.046403937,
-0.01750694,
-0.042343594,
0.057952188,
0.07572279... |
Following his amputation , he had poor wound healing . | [
"O",
"B-treatment",
"I-treatment",
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"O"
] | [
-0.006515854,
0.051939998,
0.039368704,
0.022727085,
-0.0045874547,
-0.022433488,
0.017882733,
0.0067894333,
0.016041078,
0.00947518,
-0.0158409,
-0.057651795,
-0.036539495,
0.026503813,
0.06325683,
-0.006142185,
0.05946676,
-0.045107193,
-0.024728885,
0.018509964,
0.00274746... |
Given these results , which she is to treat the pneumonia as bacterial and discharge the child with amoxicillin and Zithromax . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-treatment",
"O",
"B-treatment",
"O"
] | [
0.05694808,
-0.0026504768,
0.0056711403,
0.053355448,
-0.0076950304,
0.018715674,
-0.0036502846,
0.007955982,
-0.017744692,
-0.016239671,
-0.029493572,
0.0042510796,
-0.022708837,
0.034955345,
-0.022393268,
-0.03439703,
-0.007974188,
-0.024662938,
-0.034227107,
0.0123496745,
... |
The patient stated that he had been in his usual state of health six years ago at which time he had been able to walk more than five blocks without difficulty . | [
"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",
"O"
] | [
-0.00055083307,
0.004259776,
-0.013931588,
0.069200955,
-0.0024938458,
0.012168922,
-0.009035295,
-0.004436042,
0.020812513,
0.013931588,
-0.021974567,
-0.031492963,
0.027941518,
0.009942741,
0.0504253,
0.036872357,
0.03812581,
-0.030683443,
-0.02192234,
-0.000106392385,
0.01... |
HISTORY OF PRESENT ILLNESS : The patient is a 3 - 1 / 2 - year - old boy with a solitary kidney , had a ureteropelvic junction repair performed by Dr . | [
"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",
"B-treatment",
"I-treatment",
"I-treatment",
"O",
"O",
"O",
"O"
] | [
-0.02400976,
-0.0039284136,
0.030950377,
0.0625032,
0.0074238232,
-0.016052527,
-0.011898198,
0.03712539,
-0.012914816,
0.00009074847,
-0.0078631025,
-0.034062985,
-0.017006392,
0.03072446,
-0.0012668506,
-0.0059271352,
0.034414407,
-0.039836373,
-0.04337571,
0.016968738,
0.0... |
His hospitalization was complicated by the development of acute renal failure from tumor lysis syndrome and he required hemodialysis for only a few sessions . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"O",
"B-problem",
"I-problem",
"I-problem",
"O",
"O",
"O",
"B-treatment",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
-0.022269554,
-0.011937654,
0.008480012,
0.04137449,
0.0134555,
-0.024426186,
0.01588171,
0.0263484,
0.0031353189,
-0.0023280475,
-0.009886511,
-0.03091952,
-0.02435586,
0.017358532,
-0.0069094226,
0.013713358,
0.023371313,
-0.017499182,
-0.052227966,
0.038420845,
-0.02310173... |
Blood cultures stayed negative . | [
"B-test",
"I-test",
"O",
"O",
"O"
] | [
0.0077429307,
0.006950139,
-0.0343543,
0.012374154,
-0.05322274,
0.007333322,
0.009909894,
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-0.007855243,
-0.0018399371,
0.014917694,
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0.023955518,
0.0538834,
0.02466903,
-0.009857042,
0.03808042,
-0.07119268,
0.036098443,
0.01593511,
... |
The patient denies any shortness of breath or cough . | [
"O",
"O",
"O",
"B-problem",
"I-problem",
"I-problem",
"I-problem",
"O",
"B-problem",
"O"
] | [
-0.041170415,
-0.020430965,
-0.020146213,
0.048573967,
-0.010583288,
0.060699664,
-0.023966638,
-0.024441225,
-0.0071425326,
-0.01056549,
-0.04119414,
-0.051967263,
0.027027724,
0.053723235,
0.024488684,
0.035688933,
-0.0041348385,
-0.0311329,
-0.005970896,
0.023883585,
0.013... |
He ordered serologies for CMV including a CMV blood PCR . | [
"O",
"O",
"B-test",
"O",
"B-problem",
"O",
"B-test",
"I-test",
"I-test",
"I-test",
"O"
] | [
-0.004345371,
-0.014594927,
0.00021177216,
0.024609974,
-0.07785801,
0.040639564,
0.010063327,
0.038156494,
-0.023271874,
0.0033780085,
0.0043522683,
0.0072353873,
0.00680085,
0.04003259,
-0.004262602,
-0.00185368,
-0.015050157,
0.03045898,
-0.026444685,
0.015905436,
0.058214... |
XXX is a pleasant 37 - year - old African - American female with the past medical history of Ewing sarcoma , iron deficiency anemia , hypertension , and obesity . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-problem",
"I-problem",
"O",
"B-problem",
"I-problem",
"I-problem",
"O",
"B-problem",
"O",
"O",
"B-problem",
"O"
] | [
0.05093828,
0.0068827826,
0.011596919,
0.049999718,
0.042292137,
-0.012357723,
0.046302356,
-0.007856895,
-0.017249618,
-0.01660969,
0.0046999166,
-0.043116935,
-0.04479497,
0.0019837772,
0.027118731,
0.044510555,
0.00842572,
0.024843432,
-0.07104624,
0.01888499,
0.058190797,... |
HISTORY OF PRESENT ILLNESS : Ms . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
0.003203792,
-0.028251775,
0.025209276,
0.08491831,
-0.0020781353,
0.015063086,
0.034880076,
-0.012923828,
-0.048109513,
0.040394604,
0.012720089,
-0.021202413,
-0.03137577,
-0.019110695,
0.0166115,
0.026472455,
0.02402759,
-0.017793184,
-0.012020587,
0.03569503,
0.0488973,
... |
Comprehensive metabolic was essentially normal as was of the BUN of 32 and creatinine of 1 . | [
"B-test",
"I-test",
"O",
"O",
"O",
"O",
"O",
"O",
"B-test",
"I-test",
"O",
"O",
"O",
"B-test",
"O",
"O",
"O"
] | [
0.008201951,
0.04561145,
0.01757122,
0.020520236,
-0.044112366,
0.01575266,
0.0111325355,
0.014315016,
0.013823513,
0.005584699,
-0.0029735912,
-0.010432144,
0.009350838,
0.012791357,
0.015580635,
0.01590011,
0.0054556797,
0.010671752,
0.0047030663,
-0.017104292,
0.0461521,
... |
Next serologies for EBV , Legionella , Chlamydia , Mycoplasma , Coccidioides , and cryptococcal antigen , and a PPD . | [
"B-test",
"I-test",
"O",
"B-problem",
"O",
"B-problem",
"O",
"B-problem",
"O",
"B-problem",
"O",
"B-problem",
"O",
"O",
"B-problem",
"I-problem",
"O",
"O",
"B-test",
"I-test",
"O"
] | [
-0.006621856,
-0.04632365,
0.04650623,
0.013354565,
-0.05164461,
0.062025696,
0.041628685,
0.025691887,
-0.022992283,
-0.0011305409,
-0.008659601,
0.008470498,
0.0016195996,
-0.0060023814,
-0.016693207,
0.0023719352,
-0.03544698,
0.0012528056,
-0.040820107,
0.042645928,
0.053... |
Has no nausea , vomiting , abdominal pain . | [
"O",
"O",
"B-problem",
"O",
"B-problem",
"O",
"B-problem",
"I-problem",
"O"
] | [
-0.04116376,
0.046007905,
0.024542142,
0.044837046,
-0.03530946,
-0.012913896,
0.030258693,
-0.006600436,
0.015278574,
-0.014543917,
-0.043207027,
0.0055357567,
-0.026562449,
0.04329886,
0.0015482326,
0.013809259,
0.00654878,
-0.012316987,
0.022177463,
0.030671937,
0.06221628... |
She was on that medication three pills a day for three to four days . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
-0.021447338,
-0.025736807,
-0.014745788,
0.067585856,
-0.017466808,
0.0045152293,
0.022445442,
0.0036121835,
-0.0061074416,
0.0027670632,
0.016765758,
-0.0043132324,
0.0013709068,
-0.011317778,
0.022635557,
-0.009321572,
0.041896574,
-0.013296162,
-0.0698197,
0.0340781,
-0.0... |
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