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[ "5.", "UD:", "HT,", "DLP", ",", "GERD", "s,", "Dementia", ",", "Parkinsonism", ",", "Crystal", "induced", "arthritis", ",", "HFpEF" ]
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[ "6.", "arthritis", "at", "right", "ankle", "=>", "นึกถึง", "จาก", "gout", "or", "CPPD", "pt", ".", "มี", "colchicine", "(0.6)", "1*1", "po", "pc", "จ", "พุธ", "ศุกร์", "อยู่แล้ว" ]
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[ "ให้", "มา", "ประเมิน", "อาการ", "เป็นระยะ" ]
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[ "5.", "Desaturation" ]
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[ "คิดถึง", "จาก", "atelectasis", "+", "secretion", "ยัง", "มีปัญหา", "ไม่", "สามารถ", "ไอ", "เสมหะ", "ออก", "เอง", "ได้" ]
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[ "minimal", "secretion", "sound" ]
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[ "CXR", "decreased", "atelectasis" ]
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[ "Mx", "o2", "canula", "1LPM", "Spo2", "95%", "+", "Berodual", "1", "NB", "ช", "ย", "c", "prn", "+", "Pulmicort" ]
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[ "6.", "Colonization", "ESBL", "Klebsiella", "from", "urine" ]
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[ "C/S", "ล่าสุด", "1/10/63", ":", "ESBL", "Klebsiella", ">10^5" ]
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[ "observe,", "ไม่", "ได้", "start", "ATB", "เนื่องจาก", "ไม่", "มี", "clinical" ]
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[ "มี", "บางครั้ง", "BT", "37.5-37.8", "clinical", "ดี", "f/u", "Lab", "UA", ",", "UC", "เป็นระยะ" ]
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[ "procalcitonin", "ไม่", "rising", "obsever", "clinical", "ไข้", "ลง", "เอง", "ไม่", "ได้", "ให้", "ATB" ]
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[ "ก่อน", "d/c", "PCT", "0.05" ]
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[ "7.", "immunization", "pneumococcal", "vaccine", "23", "strain", "10/11/63" ]
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[ "Knowncase", "Pheochromocytoma", ",", "HT", ",", "DM" ]
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[ "Refer", "มา", "รพ", "เพื่อ", "ปรับ", "ยา", "ควบคุม", "ความดัน" ]
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[ "1.", "pheochromocytoma" ]
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[ "-24hr", "urine", "normetanephrine", "11517", "mcg(0-659)" ]
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[ "-24hr", "urine", "metannephrine", "10650", "mcg(0-374)" ]
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[ "-24hr", "urine", "3-Methoxytyramine", "572", "mcg", "(0-459)" ]
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[ "-plama", "metanephrine", "696pg/mL", "(0-96)" ]
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[ "-plama", "normetanephrine", "900pg/mL", "(0-163)" ]
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[ "at", "รพ", "ควบคุม", "BP", "ได้", "ด้วย" ]
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[ "Doxazosin", "24mg/day,", "Atenolol", "25mg/day" ]
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[ "รอ", "นัด", "MIBG", "ได้", "29-30-31/7/63" ]
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[ "MIS", "นัด", "4/8/63" ]
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[ "2.", "Suspected", "aucte", "PE" ]
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[ "Grandround", "รีวิว", "ประวัติ", "ขณะ", "admit", "25/3/63", "ร่วมกับ", "Review", "CTA", "pulmonary", "กับ", "รังสี", "แล้ว" ]
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[ "คิด", "ว่า", "clinical", "feature", "ไม่", "เหมือน", "PE", "ให้", "off", "WARFARIN", "ได้" ]
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[ "3.DM", "HT" ]
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[ "4.Hx", "CHF", "LV", "septum", "จาก", "CT", "2", "cm", "->", "รอ", "นัด", "TTE" ]
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[ "Acute", "decompensated", "HF", "with", "non-ischemic", "DCM", "S/P", "LVAD", "HMII", "with", "ACID" ]
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[ "นึกถึง", "precipitating", "cause", "from", "excessive", "salt-water", "intake", "มีประวัติ", "ดื่ม", "น้ำ", "เยอะ", "ปะ", "มา", "ณ", "2", "L/day", "+", "weight", "gain" ]
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[ "CXR", "-", "pulmonary", "congestion", ",", "increased", "CT", "ratio,", "presence", "of", "AICD", "+", "LVAD" ]
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[ "TTE(22/6/63):", "LVEF34%", ",LVEDD", "40", "mm,", "RAP", "10", "mmHg,", "mild", "TR", ",", "trivial", "MR", ",", "mild", "AR" ]
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[ "ให้", "การรักษา", "ด้วย", "oral", "Tolvaptan", "(15)", "1/2", "tab", "po", "od", "วันที่", "22,", "25,", "29/6/63" ]
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[ "เพราะ", "รู้สึก", "เหนื่อย", "รับประทาน", "ได้", "น้อย", "มาก", "แทบ", "ไม่", "ได้", "รับประทาน", "อาหาร", "ปกติ", "เลย", "ทาน", "เป็น", "ensure", "250", " ", "ml", " ", "x", " ", "3", " ", "มื้อ", " " ]
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[ "ร่วมกับ", "ดื่ม", "น้ำหวาน", "และ", "น้ำเปล่า", "ไม่", "ปวดท้อง", "ไม่", "มี", "คลื่นไส้", "อาเจียน", "ไม่", "มี", "ท้องเสีย", "ปัสสาวะ", "ไม่", "แสบ", "ขัด", "ไม่", "มี", "ไข", "้", "ไม่", "ไอ", " " ]
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[ "ปวด", "บริเวณ", "สะบัก", "ด้าน", "ขวา", "และ", "ตึง", "ที่", "ขา", " ", "2", " ", "ข้าง", "พอ", "ๆ", "เดิม", "ทาน", "morphine", "บรรเทา", "ปวด", "ได้" ]
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[ "ครั้งนี้", "admit", "เพื่อ", "มา", "รับ", "Topotecan", "cycle", "2", "ตาม", "นัด" ]
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[ "History", "of", "past", "illness", ":", "last", "admit", ":", "21/05/2020", "Discharge", ":", "29/05/2020" ]
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[ "1.", "CA", "prostate", "with", "bone", ",", "pleural", "&", "liver", "metastasis" ]
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[ "3.", "DM", "type", "II" ]
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[ "4.", "Bleeding", "hemorrhoid" ]
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[ "ถ่าย", "เป็น", "เลือด", "สด", "หยด", "ตามหลัง", "ถ่าย", "จึง", "ให้", "Daflon", "+", "mucillin", "ไม่", "มี", "ถ่าย", "เป็น", "เลือด", "อีก" ]
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[ "Mental", "evalution", ":", "Appropriate", "Orientation", "to" ]
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[ "Head/Face", ":", "Normal" ]
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[ "Eye/ENT", ":", "Normal" ]
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[ "Neck", ":", "Normal" ]
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[ "Heart", ":", "Normal" ]
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[ "Lungs", ":", "Decrease", "breath", "sound", "RLL" ]
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[ "Nervous", "syst.", ":", "Normal" ]
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[ "Lymph", "nodes", ":", "None" ]
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[ "Breasts", ".:", "Normal" ]
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[ "Genitalia", ":", "Normal" ]
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[ "Rectal", "exam", ":", "Normal" ]
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[ "ผู้ป่วย", "หญิง", "ไทย", "โสด", "อายุ", "20", "ปี" ]
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[ "Last", "admit", "22/6/63,", "discharge", "22/6/63" ]
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[ "Known", "case" ]
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[ "1.", "Precursor", "B-cell", "ALL", "(high", "risk)" ]
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[ "8/2/63", "ไป", "รพ.", "Dx", "sepsis", "with", "bicytopenia", "->", "admit", "3", "วัน", "refer", "รพ." ]
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[ "PE", ":", "multiple", "cervical", "lymphadenopathy" ]
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[ "PBS", ":", "lymphoblast", "seen", "->", "BM", "Bx", ":", "acute", "leukemia" ]
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[ "10/3/63", "refer", "hemato", "clinic", "1st", "visit" ]
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