Datasets:

Tippawan

/

SNOMED-CT-HC0n1

like 0

[ "(14.8", "TMP", "mg/kg/day)" ]

[ 0, 0, 0 ]

[ "#", "Myasthenia", "gravi", "s", ":", "stable" ]

[ 0, 1, 2, 0, 0, 0 ]

[ "notify", "neuro", "->", "off", "azathioprine" ]

[ 1, 2, 0, 1, 2 ]

[ "------------------------------------------------------------------------------------------------------" ]

[ 0 ]

[ "Admit", "ด้วย", "Bactrim", "induce", "Agranulocytosis" ]

[ 0, 0, 1, 2, 2 ]

[ "off", "Bactrim", "ได้", "Imipenem", "500", "mg", "iv", "Q", "6", "hr", "(30/6/63-8/7/63)" ]

[ 0, 1, 0, 1, 0, 0, 0, 0, 0, 0, 0 ]

[ "consult", "Hemato", "==>", "Suggest", "Bactrim", "induce", "Agranulocytosis", ",", "F/U", "ANC" ]

[ 1, 2, 0, 0, 1, 2, 2, 0, 0, 1 ]

[ "consult", "Chest", "==>", "ปรับ", "ยา", "หลัง", "ได้", "Nocardia", "spp.", "drug", "sense", "เป็น", "Auqmentin", "+", "Levofloxacin" ]

[ 1, 2, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 1, 0, 1 ]

[ "ขอ", "ทำ", "Nocardia", "spp.", "drug", "sense", "ส่ง", "drug", "sensitivity", "==>", "sense", "Bactrim", ",", "Augmentin", ",", "Levofloxacin" ]

[ 0, 0, 1, 2, 2, 2, 0, 1, 2, 0, 1, 2, 2, 2, 2, 2 ]

[ "หลัง", "off", "Bactrim", " ", "ให้", " ", "Imipenem", "ไม่", "ไข้", "ไม่", "ไอ", "ไห", "ม่", "เหนื่อย" ]

[ 0, 1, 2, 1, 2, 2, 2, 0, 0, 0, 0, 0, 0, 0 ]

[ "F/U", "CBC", "==>", "ANC", " ", "ค่อยๆ", "เพิ่มขึ้น", " ", "จน", "เป็น", "ปก", "ต", "ิ" ]

[ 0, 1, 0, 1, 2, 2, 2, 2, 2, 2, 2, 2, 0 ]

[ "Case", "ชาย", " ", "77", " ", "ปี", "knowncase", "HT", ",", "ITP", ",", "Schizophrenia", ",", "Hx", "of", "hip", "fx", ",", "Parkinsonism" ]

[ 0, 1, 2, 2, 2, 2, 0, 1, 0, 1, 0, 1, 0, 1, 2, 2, 2, 0, 1 ]

[ "1.", "CAP", "->", "HAP" ]

[ 0, 1, 0, 1 ]

[ "แร", "กรับ", "มา", "ด้วย", "ไข้", "ไอ", "หอบ", "CXR", "RLL", "infiltration", "RLL" ]

[ 0, 0, 0, 0, 1, 1, 1, 1, 2, 2, 0 ]

[ "ได้", "Cef-3", "Azithro", "23/6/63", "admit", "ยังมี", "ไข้", "ตลอด" ]

[ 0, 1, 1, 0, 0, 0, 1, 0 ]

[ "27/6/63", "ไข้", "เปลี่ยน", "Peak", " ", "ไอ", "เสมหะ", "ปริมาณ", "มากขึ้น" ]

[ 0, 1, 0, 0, 1, 2, 2, 2, 2 ]

[ "Switch", "to", "Tazosin", "27/6/63", "ไข้", "ลง", "ดี", "Cont", "10", "วัน" ]

[ 0, 0, 1, 0, 1, 2, 0, 0, 0, 0 ]

[ "Flu/RSV", "pannel", ":", "NEG" ]

[ 1, 2, 2, 2 ]

[ "Sputum", "C/S", "25,28/6/63", ":", "Contaminate" ]

[ 1, 2, 0, 0, 0 ]

[ "2.", "ITP", "-", "on", "Prednisolone", "15mg/day" ]

[ 0, 1, 0, 0, 1, 0 ]

[ "plt", "200-300k" ]

[ 1, 0 ]

[ "3.", "Alteration", "of", "conciousness" ]

[ 0, 1, 2, 2 ]

[ "Status", "เดิม", "จาก", "ช่วง", "เมษ", "-", "พค", "63", "-", "กลางวัน", "หลับ", "กลางคืน", "ตื่น", "ร้อง", "คราง", "ถาม", "ตอบ", "ไม่", "รู้เรื่อง" ]

[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 2, 2, 2, 2, 2 ]

[ "at", "ward", "ช่วงแรก", "ซึม", "เยอะ", " ", "หลับ", "ทั้งวัน" ]

[ 0, 0, 1, 2, 2, 2, 2, 2 ]

[ "PE:", "positive", "clockwheel", "rigidy", ",", "no", "resting", "tremor" ]

[ 0, 1, 2, 2, 0, 1, 2, 2 ]

[ "คิดถึง", "จาก", "sepsis", "encephalopathy", "->", "หลัง", "รักษา", "pneumonia", "concious", "กลับ", "ไป", "พอ", "ๆ", "กับ", "status", "เดิม" ]

[ 0, 0, 1, 2, 0, 0, 0, 1, 1, 0, 0, 0, 0, 0, 0, 0 ]

[ "4.", "Parkinsonism" ]

[ 0, 1 ]

[ "เริ่ม", "มี", "อาการ", "parkinsonism", "ประมาณ", "ปี", "59", "อาการ", "เป็น", "มากขึ้น", "เรื่อยๆ", "ตอนแรก", "สงสัย", "ว่า", "เป็น", "EPS" ]

[ 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1 ]

[ "3/63", "admit", "เรื่อง", "Fx", "Hip", "->", "Consult", "geriatric", "คิดถึง", "secondary", " ", "parkinsonism", " ", "จาก", "ยา", " ", "antipsychotic", "มากกว่า", "primary", "มี", "การ", "ปรับ", "ยา" ]

[ 0, 0, 0, 1, 2, 0, 1, 2, 0, 1, 2, 2, 2, 2, 2, 2, 2, 0, 0, 0, 0, 0, 0 ]

[ "มีนัด", "ประเมิน", "Role", "of", "L-Dopa", "3/4/63", "แต่", "ผู้ป่วย", "loss", "FU" ]

[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 0 ]

[ "admission", "นี้", "off", " ", "ยา", " ", "antipsychotic", "ทั้งหมด", "ยังมี", "Clockwheel", "rigidity", "อยู่" ]

[ 0, 0, 1, 2, 2, 2, 2, 0, 0, 1, 2, 0 ]

[ "consult", "Psychia", "ยัง", "ไม่", " ", "start", " ", "Antipsychotic", " ", "ใหม", "่" ]

[ 1, 2, 0, 1, 2, 2, 2, 2, 2, 2, 0 ]

[ "plan", "นัด", "ไป", "ประเมิน", "OPD", "Geriatrics", "อีกครั้ง" ]

[ 0, 0, 0, 0, 0, 0, 0 ]

[ "5.", "Anemia" ]

[ 0, 1 ]

[ "Hct", "30%", "MCV", "103", "PBS", "-", "hypersegmented", "neutrophil" ]

[ 1, 0, 1, 0, 1, 0, 1, 2 ]

[ "Tsat", "42%", "Ferritin", "1100" ]

[ 1, 0, 1, 0 ]

[ "IMP", ":", "Megalobalstic", "anemia" ]

[ 0, 0, 1, 2 ]

[ "ไม่", "ได้", "เจาะ", "Folate", "/", "B12", "level" ]

[ 0, 0, 0, 1, 0, 1, 0 ]

[ "ผู้ป่วย", "หญิง", "อายุ", " ", "48", " ", "ปี", "U/D", "HT", ",", "DLP" ]

[ 0, 1, 2, 2, 2, 2, 2, 0, 1, 0, 1 ]

[ "6", "month", "PTA", "-", "หายใจ", "หอบ", "เหนื่อย", "นอน", "ราบ", "ไม่", "ได", "้", "ขา", "บวม", "สอง", "ข้าง", "เริ่ม", "มี", "functional", "class", "change", "I", "->", "III" ]

[ 0, 0, 0, 0, 1, 2, 2, 1, 2, 2, 2, 0, 1, 2, 2, 2, 0, 0, 1, 2, 2, 2, 2, 2 ]

[ "ไป", "รักษา", "ที่", "รพ.", "วินิจฉัย", "ว่า", "มี", "CHF", "จึง", "ให้ยา", "ขับ", "ปัสสาวะ", "กลับ", "ไป", "ทาน", "ที่", "บ้าน" ]

[ 0, 0, 0, 0, 0, 0, 1, 2, 0, 1, 2, 2, 2, 2, 2, 2, 2 ]

[ "Echo", "ที่", "รพ.", "(25/5/63):", "sinus", ",", "RA/RV", "mild", "dilated", ",", "LA", "normal", ",", "LV", "goodLVEF", "55%,", "no", "RWMA", ",", "no", "significant", "valvular", "heart", "disease", ",", "TRPG", "44", "mmHg,", "RVSP", "59", "mmHg,", "no", "clot", "in", "MPA", ",", "->", "PHT", "ได้", "diuretic", "อยู่", "เรื่อยๆ" ]

[ 1, 0, 0, 0, 1, 0, 1, 2, 2, 0, 1, 2, 0, 1, 2, 0, 1, 2, 0, 1, 2, 2, 2, 2, 0, 1, 0, 0, 1, 0, 0, 1, 2, 2, 2, 0, 0, 1, 0, 1, 0, 0 ]

[ "จากนั้น", "คนไข้", "มี", "อาการ", "เหนื่อย", "จึง", "ไป", "โรงพยาบาล", "ได้", "ทำ", "echo", "(18/6/63):", "NSR", ",", "mild", "LV", "dilatation", ",", "Moderate", "global", "hypokinesia", "with", "LVEF", "38%", "D-shaped", "septum", ",", "Moderate", "RA", "and", "RV", "dilatation", ",", "Severe", "pulmonary", "hypertension", ",", "Moderate", "MPA", "dilatation", ",", "no", "clot" ]

[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 1, 0, 1, 0, 1, 2, 2, 0, 1, 2, 2, 0, 1, 0, 1, 2, 0, 1, 2, 2, 2, 2, 0, 1, 2, 2, 0, 1, 2, 2, 0, 0, 0 ]

[ "Cardiac", "MRI", "(24/6/63)", "รพ.", ":", "Cardiac", "amyloidosis", ",", "Severely", "impared", "LV", "and", "RV", "systolic", "contraction", ",", "LVEF", "28%,", "RVEF", "28%,", "No", "ishemic", "scar" ]

[ 1, 2, 0, 0, 0, 1, 2, 0, 1, 2, 2, 2, 2, 2, 2, 0, 1, 0, 1, 0, 1, 2, 2 ]

[ "จึง", "refer", "มา", "รพ." ]

[ 0, 0, 0, 0 ]

[ "•", "Cardiac", "amyloidosis", "-->", "AL", "amyloidosis", "confile", "by", "abdominal", "fat", "pad", "(30/6/63", ":", "crystal", "violet", "stain", "+", ",", "congo", "red", "+", ")" ]

[ 0, 1, 2, 0, 1, 2, 2, 2, 2, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "ขณะ", "นอน", "รพ.", "มี", "progressive", "HF", "(cold-wet)", "-->", "on", "dopamine", "titrate", "จน", "off", "ได้" ]

[ 0, 0, 0, 0, 1, 2, 0, 0, 0, 1, 0, 0, 0, 0 ]

[ "-->", "adjust", "diuretic", ":", "lasix", "(40)", "1*2", "ส่วน", "betablocker", ",", "ACEI", "ยัง", "ไม่", "เริ่ม", "เนื่องจาก", "benefit", "น้อย", "+", " ", "BP", " ", "ค่อน", "ต่ำ" ]

[ 0, 0, 1, 0, 1, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 2, 2 ]

[ "สาเหตุ", "คิดถึง", "cardiac", "amyloidosis", "เนื่องจาก", "มี", "biatrial", "enlargement", "with", "restrictive", "physiology", ",", "increase", "LV", "thickness", "CMR", "late", "gadolinium", "+" ]

[ 0, 0, 1, 2, 0, 0, 1, 2, 2, 2, 2, 0, 1, 2, 2, 2, 2, 2, 2 ]

[ "คิดถึง", "infiltrative", "cardiomyopathy", "จาก", "amyloid", "มาก", "ที่สุด" ]

[ 0, 1, 2, 0, 1, 0, 0 ]

[ "w/u", "organ", "อื่น", "พบ", "hematologic", "involvement" ]

[ 0, 0, 0, 0, 1, 2 ]

[ "plan", "F/U", "OPD", "2", "wk", "+", "CXR", "PA", "upright", ",", "BUN", ",", "Cr", ",", "Elyte", "ยัง", "ไม่", "มี", "plan", "heart", "transplant" ]

[ 0, 0, 0, 0, 0, 0, 1, 2, 2, 0, 1, 0, 1, 0, 1, 0, 0, 0, 0, 0, 0 ]

[ "2.", "smoldering", "MM" ]

[ 0, 1, 2 ]

[ "w/u", "ไม่", "มี", " ", "end", " ", "organ", " ", "damage", "no", "clinical", "CRAB" ]

[ 0, 1, 2, 2, 2, 2, 2, 2, 2, 1, 2, 2 ]

[ "M", "proten", "2.54", "protein", "electrophoresis", ":", "free", "lambda", "light", "chain", "30/6/63" ]

[ 1, 2, 0, 1, 2, 0, 1, 2, 2, 2, 0 ]

[ "immuno", "fixation", "(30/6/63)", "-", "Ig", "G", "lambda", "monoclonal", "gammopathy" ]

[ 1, 2, 0, 0, 1, 2, 2, 2, 2 ]

[ "Mone", "marrow", "biopsy", ":", "plasama", "cell", "15-20%" ]

[ 1, 2, 2, 0, 1, 2, 0 ]

[ "คุย", "กับ", "pt", ":", "financial", "problem", "affort", "CMT", "ไม่", "ไหว" ]

[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "-->", "melphalan", "(2)", "3", "tab", "po", "bid", "D1-4", "(9-12/7/63)" ]

[ 0, 1, 0, 0, 0, 0, 0, 0, 0 ]

[ "dexamethasone", "(4)", "5", "tab", "po", "bid", "pc", "(", "วัน", "พฤหัส", "D1,8,15,22)" ]

[ 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "1.", "Acute", "cholangitis", "with", "sepsis" ]

[ 0, 1, 2, 2, 2 ]

[ "มีปัญหา", "ซึม", "+", "BP", "drop", ">>", "IVF", "resuscitation", ">>", "improve" ]

[ 0, 1, 0, 1, 2, 0, 1, 2, 0, 0 ]

[ "Rx-", "ERCP", "(29/6/63)", "finding:", "malignant", "distal", "CBD", "obstruction", "with", "proximally", "migrated", "stent", "S/P", "new", "7Frx7cm,", "7Frx5cm", "DPS", "placement" ]

[ 0, 1, 0, 0, 1, 2, 2, 2, 2, 2, 2, 2, 0, 0, 0, 0, 0, 0 ]

[ "-", "ATB", ":", "Pip/tazo", "IV", "(28/6/63", "-", "5/7/63)" ]

[ 0, 1, 0, 1, 0, 0, 0, 0 ]

[ "Levoflaxacin", "IV", "(2/7/63", "-", "5/7/63)" ]

[ 1, 0, 0, 0, 0 ]

[ "Plan:", "change", "to", "Levofloxacin", "(500)", "1.5", "x", "1", "po", "ac", "วันเว้นวัน", "กิน", "ต่อ", "อีก", "4", "วัน", "(total", "7", "วัน", ")" ]

[ 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "-", "F/U", "ต่อ", "เรื่อง", "CA", "HOP" ]

[ 0, 0, 0, 0, 1, 2 ]

[ "complicated", "UTI" ]

[ 1, 2 ]

[ "UC", ",", "H/C", "28/6/63", "-->", "NG" ]

[ 1, 0, 1, 0, 0, 0 ]

[ "fu", "UC", "3/7/63", "NG" ]

[ 0, 1, 0, 1 ]

[ "u/s", "KUB", "3/7/63", "Chronic", "renal", "parenchymal", "disease", "of", "left", "kidney", "with", "relatively", "prominent", "left", "pelvocalyceal", "system", "without", "demonstrable", "cause", "of", "obstruction" ]

[ 1, 2, 0, 1, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2 ]

[ "-", "No", "evidence", "of", "hydronephrosis", "of", "right", "kidney" ]

[ 0, 0, 0, 0, 1, 2, 2, 2 ]

[ "-", "Several", "right", "renal", "cysts" ]

[ 0, 1, 2, 2, 2 ]

[ "on", "ceftriaxone", "28-29/6/63", "2g", "IV", "OD" ]

[ 0, 1, 0, 0, 0, 0 ]

[ "on", "meropenem", "1", "gm", "IV", "q", "8hr", "29/6/63-3/7/63-->", "plan", "on", "ertPENEM", "1G", "iv", "Q", "24", "HR", "OPD", "ถึง", "วันที่", "11/7/63" ]

[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "1.)", "Psychosis", "suspected", "from", "hypothyroidism" ]

[ 0, 1, 2, 2, 2 ]

[ "work", "up", "acute", "behavioral", "change", "พบ", "hypothyroidism", ":", "TSH", "40.70", "(0.27-4.2),", "T3", "<19.53", "(80-200),", "FT4", "0.08", "(0.93-1.7)" ]

[ 0, 0, 1, 2, 2, 0, 1, 0, 1, 0, 0, 1, 0, 0, 1, 0, 0 ]

[ "ผล", "investigations", ":" ]

[ 0, 1, 0 ]

[ "•", "CT", "brain", "with", "contrast", "(26/6/63)" ]

[ 0, 1, 2, 2, 2, 0 ]

[ "-", "No", "abnormal", "leptomeningeal", "enhancement", "or", "enhancing", "lesion." ]

[ 0, 1, 2, 2, 2, 2, 2, 2 ]

[ "-", "No", "intracranial", "hemorrhage", "or", "recent", "large", "territorial", "infarction." ]

[ 0, 1, 2, 2, 2, 2, 2, 2, 2 ]

[ "-", "No", "evidence", "of", "cerebral", "venous", "sinus", "trhrombosis." ]

[ 0, 1, 2, 2, 2, 2, 2, 2 ]

[ "-", "Old", "infarction", "at", "superior", "left", "cerebellar", "hemisphere", "and", "a", "few", "odl", "lacunar", "infarction", "at", "right", "high", "frontal,", "both", "periventricular,", "and", "right", "occipital", "regions." ]

[ 0, 1, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2 ]

[ "-", "Coritcal", "brain", "atrophy" ]

[ 0, 1, 2, 2 ]

[ "•", "Folate", ",", "B12", "level:", "normal" ]

[ 0, 1, 0, 1, 0, 0 ]

[ "•", "anti-HIV", ",", "HBsAg", ",", "anti-HCV", ":", "negative,", "VDRL", ":", "non-reactive" ]

[ 0, 1, 0, 1, 0, 1, 0, 0, 1, 0, 0 ]

[ "•", "anti-TPO", ":", "negative,", "anti-TG", "negative" ]

[ 0, 1, 0, 0, 1, 0 ]

[ "Consult", "neurologist", "ร่วม", "ประเมิน", "suggest", "->", "LP", "for", "evaluate,", "ส่ง", "EEG" ]

[ 1, 2, 0, 0, 0, 0, 1, 0, 0, 0, 1 ]

[ "•", "LP", "2/7/63:", "Open", "pressure", "11cm.", "water,", "Closed", "pressure", "5cm.", "water" ]

[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "•", "CSF", ":", "WBC", "2", "cell/cumm,", "RBC", "0,", "total", "protein", "151", "mg/dl,", "glucose", "64/113", "(ratio", "0.56),", "C/S", "NG" ]

[ 0, 1, 0, 1, 0, 0, 1, 0, 1, 2, 0, 0, 1, 0, 0, 0, 1, 0 ]

[ "anti-neuronal", "antibody", "panels", ":", "negative", "autoimmune", "encephalitis", "panels", ":", "negative" ]

[ 1, 2, 2, 0, 0, 1, 2, 2, 0, 0 ]

[ "pathology", ":", "negative", "for", "malignant", "cells" ]

[ 1, 0, 1, 2, 2, 2 ]

[ "•", "EEG", "(3/7/63):", "mildly", "abnormal", "and", "consistent", "with", "mild", "diffuse", "encephalopathy,", "no", "epileptiform", "discharge", "or", "EEG", "seizure", "was", "seen" ]

[ 0, 1, 0, 1, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2 ]

[ "จึง", "ยัง", "ไม่", "คิดถึง", "autoimmune", "encephalitis", "ขณะนี้", "คิดถึง", "cause", "จาก", "hypothyroidism" ]

[ 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 1 ]

[ "Plan", "-treat", "hypothyroidism" ]

[ 0, 0, 1 ]

[ "-", "MRI", "brain", "for", "further", "clinical", "clues" ]

[ 0, 1, 2, 0, 0, 0, 0 ]

[ "consult", "psychiatrist", "ร่วม", "ประเมิน", ">", "Risperidone", "po" ]

[ 1, 2, 0, 0, 0, 1, 0 ]

[ "clinical", "ดีขึ้น", "ตอบสนอง", "เร็ว", "ขึ้น", " ", "ตอบ", "ตรง", "คำถาม", "ไม่", "พูดถึง", "เรื่อง", "คน", "มา", "ทำร้าย", "หรือ", "คน", "มา", "ขโมย", "เงิน" ]

[ 0, 0, 0, 0, 0, 1, 2, 2, 2, 1, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2 ]

[ "2.)", "Primary", "hypothyroidism", "most", "likely", "atrophic", "thyroiditis" ]

[ 0, 1, 2, 2, 2, 2, 2 ]

[ "TFT", "(27/6/63):", "TSH", "40.70", "(0.27-4.2),", "T3", "<19.53", "(80-200),", "FT4", "0.08", "(0.93-1.7)" ]

[ 1, 0, 1, 0, 0, 1, 0, 0, 1, 0, 0 ]