Datasets:

Tippawan

/

imb

like 0

[ "Rx:", "Morphine", "syr", "4", "mg", "po", "q", "4", "h" ]

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

[ "Death", "at", "11/7/63", "18.50", "น." ]

[ 1, 0, 0, 0, 0 ]

[ "-", "ได้", "Imipenem", "+", "amikacin", "+", "levofloxacin", "oral", "+", "azithromycin", "oral", "x", "3", "weeks", "จากนั้น", "continue", "Moxifloxacin", "oral", "(off", "Levofloxacin", ")", "+", "azithromycin", "oral" ]

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

[ "1.", "UTI", "with", "sepsis" ]

[ 0, 1, 0, 1 ]

[ "F/U", "UA", "WBC", "5-10", "leukocyte", "negative" ]

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

[ "2.", "Hyponatremia", "125" ]

[ 0, 1, 0 ]

[ "3.", "Hypophosphatemia", "P", "1.8" ]

[ 0, 1, 0, 0 ]

[ "4.", "Hypokalemia", "3.1" ]

[ 0, 1, 0 ]

[ "•", "Hyperthyroidism", "หลังจาก", "off", "MMI", "+", "PTU", "ได้", "start", "Lithium", "(300)", "1*2", "oral", "pc", "=>", "F/U", "Lithium", "level", "0.367" ]

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

[ "จึง", "ให้", "เป็น", "oral", "azithromycin", "750", "mg/wk", "ตามเดิม" ]

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

[ "3.", "malnutrition", "on", "NG", "feed", "BD", "(1:1)", "300ml", "*", "4feed", "+", "น้ำ", "ตาม", "50", "ml", "+", "น้ำ", "ระหว่าง", "มื้อ", "50", "ml", "หลัง", "feed", "ให้", "นั่ง", "หัวสูง", "90", "องศา", "นาน", "1-2", "ชม." ]

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[ "Tx.", "NAcl", "1*3", "oral", "pc" ]

[ 0, 1, 0, 0, 0 ]

[ "W/U:", "IGF-1", "650", ">>", "OGTT", "with", "GH:", "not", "suppress" ]

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

[ "on", "bromocriptin", "3x3" ]

[ 0, 1, 0 ]

[ "pus", "C/S", ":", "S.aureus", "(MSSA)" ]

[ 1, 2, 0, 1, 2 ]

[ "•", "Thyrotoxicosis", "S/P", "I131", "ablation", "with", "primary", "hypothyroid", "from", "I131", "ขณะ", "admit", "initial", "lab", "subclinical", "hyperthyroid", "[T3", "93.5", "FT4", "1.66", "TSH", "<", "0.05", "]", "plan", "hold", "eltroxin" ]

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[ "•", "Biventricular", "HF", "with", "AFL", "with", "RVR" ]

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

[ "ขณะ", "admit", "HR", "คง", "ที่อยู่", "ที่", "120", "bpm", "consult", "cardiologist,", "EP", "-->", "TEE:", "LV", "dilated", "and", "eccentric", "hypertrophy", "LVEF", "17%", "by", "simpsom", "method", "global", "wall", "severe", "hypokinesia", ",", "RV", "systolic", "function", "is", "impair", ",", "pulmonary", "hypertension", "from", "Lt", "heart", "disease", ",", "EP", "suggest", "diuretic", "keep", "I/O", "negative,", "EPS", "with", "RFCA", "[", "คุย", "กับ", "ผู้ป่วย", "เบื้องต้น", "แนะนำ", "ว่า", "ไป", "จี้", "ตาม", "สิทธิ์", "รพ.", "]", "หลัง", "Lasix", "IV", "I/O", "negative", "3", "days", "[3000/1500/2000]", "ปรับ", "lasix[40]", "1/2*3", "inital", "rate", "control", "bisoprolol[5]", "1*1", "[30/6/63]", ",", "ประเมิน", "CHA2DS2VASc", "=1", "ปรึกษา", "ทาง", "cardio", "start", "warfarin", "[2]", "1*1", "po", "hs", "[1/7/63]", "plan", "follow", "up", "INR", "1", "wk", "คนไข้", "สะดวก", "ไป", "follow", "up", "รพ", "อื่น" ]

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[ "U/S", ":", "gall", "stone", "1.5", "cm", "with", "fatty", "liver", "วันนี้", "นัด", "มา", "EUS", "29/6/63", ":", "no", "evidence", "of", "CBD", "stone", "/", "GB" ]

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[ "1.", "CA", "Nasopharynx", "T4N3Mx" ]

[ 0, 1, 2, 1 ]

[ "S/P", "induction", "CMT", "with", "Cisplatin", "+", "5-FU", "1st", "cycle,", "D1", "=", "30/6/63" ]

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

[ "Bone", "scan", "(2/7/63)", ":", "Possible", "normal", "variation", "at", "mid", "body", "of", "sterum", "but", "cannot", "totally", "exclude", "bone", "metastasis", ".", "Please", "correlate", "with", "other", "radiographs", "or", "follow", "up." ]

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[ "Plan", "F/U", "Bone", "scan", "หลัง", "ได้", "ยา", "CMT", "แล้ว", "ระยะ", "หนึ่ง" ]

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

[ "•", "acute", "decompensted", "heart", "failure", "admit", "diuretics", "and", "consult", "cardio", "for", "TEE", "ผล", "echo", "unofficial", "attending", "staff", "ให้", "ความเห็น", "ว่า", "window", "ไม่", "ดี", "ขอ", "ประเมิน", "ซ้ำ", "OPD", "case", "furosmide", "IV", "2-3", "days", "negative", "I/O", "clinical", "no", "orthopnea", "no", "PND", "add", "enalapril[5]", "1/2*2", "BP", "100-120/70-80", "add", "cervedilol[6.25]", "1/2*2", "ก่อน", "D/C" ]

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[ "•", "anemia", "work", "up", "iron", "deficiency", "anemia", ",", "blood", "transfusion", "2", "U", "Hb", "5.8-->", "8.6", "ยัง", "ไม่", "หา", "cause", "bleeding", "เนื่องจาก", "อายุ", "เยอะ", "ไม่", "มี", "benefit" ]

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[ "1.", "CBD", "stone", "with", "complete", "stone", "removal" ]

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

[ "Cholangiogram", ":", "one", "polygonal", "filling", "defect", "at", "CHD", ",", "no", "CBD", "dilatation" ]

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

[ "other:", "CBD", "stone", "was", "removed", "using", "12", "mm", "extraction", "balloon,", "oclusion", "cholangiogram", "showed", "no", "residual", "filling", "defect" ]

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[ "1.", "Asthma", "precipitated", "by", "pollution", "with", "acute", "respiratory", "failure", "on", "NIV" ]

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[ "เหนื่อย", "มากขึ้น", "3", "วัน", "****", "เดิม", "Dx", "COPD", "gold", "C", "consult", "chest", "เปลี่ยน", "Dx", "เป็น" ]

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[ "asthma", "เพราะ", "attack", "บ่อย", "อาการ", "เป็น", "มาก", "ช่วง", "กลางคืน", "ไม่", "มี", "productive" ]

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[ "bronchiectasis", "มี", "atropic", "rhinitis", ",nasal", "polyp" ]

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

[ "Mx", "Berodual", "NB", "On", "HFNC", "Dexamethasone", "IV" ]

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

[ "1.", "Multiple", "myeloma", "in", "CR", "(", "Dx.2558)" ]

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

[ "2.", "Chronic", "HBV", "infection", "(1st", "DX", "พย", "59)" ]

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

[ "3.R/O", "pancreatic", "NET" ]

[ 0, 1, 2 ]

[ "U/S", "upper", "abdomen", "16/1/2017", ":", "A", "new", "well-defined", "hyperechoic", "nodule", "with", "central", "hypoechogenicity", "at", "right", "hepatic", "lobe", ",", "size", "0.5", "cm", "diameter." ]

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[ "CT", "WA", "7/5/2018", ":", "-", "Multiple", "arterial", "enhancing", "nodule", "at", "hepatic", "segment", "2,", "8,", "6", "and", "4", "with", "isodense", "on", "portovenous", "phase,", "could", "be", "abnormal", "perfusion." ]

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[ "CT", "WA", "25/9/2019", "(", "ล่าสุด", ")", ":", "-", "No", "significant", "changed", "small", "hypervascular", "nodule", "at", "pancreatic", "tail", ",", "about", "1.2x1.3", "cm.,", "favor", "PNET", "." ]

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[ "-", "Several", "faint", "arterial", "enhancing", "nodule", "at", "hepatic", "segment", "2,", "8,", "5", "and", "6", "are", "noted", "with", "isodense", "on", "portovenous", "phase" ]

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[ "EUS", "11/6/62", ":", "Increase", "echotexure", "of", "pancreas", ",", "on", "0.97*.94", "cm", "round", "hyerechoic", "mass", "at", "pancreatic", "tail" ]

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[ "หลัง", "ทำ", "หัตถการ", "ไม่", "ไข้", " ", "ไม่", "ปวดท้อง", "ไม่", "มี", "ตัวเหลือง", "ตาเหลือง" ]

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[ "•", "ได้", "ATB", "meropenem", "1", "g", "iv", "q", "8", "hr", "(29-3/7/63)" ]

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

[ "2.", "GS", "with", "CBD", "stone" ]

[ 0, 1, 0, 1, 2 ]

[ "Diag", "CBD", "sludge", "s/p", "balloon", "extraction" ]

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

[ "no", "post", "-op", "complication" ]

[ 0, 1, 2, 2 ]

[ "3.u/d", "DM", ",", "Ht", ",", "Dlp", ",", "ESRD", "on", "HD" ]

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

[ "1.", "AML", "(Non-M3),", "High", "Risk", "with", "Chronic", "DIC" ]

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[ "-Notify", "Hemato", "เรื่อง", "AML", "->", "ประเมิน", "เป็น", "Advanced", "stage", "with", "Resistant", "to", "Chemotherapy", "->", "Plan", "Palliative", "Care", "ให้", "Blood", "and", "Blood", "Component", "เป็น", "Supportive", "Treatment" ]

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[ "Visit", "นี้", "ได้", "Blood", "and", "Blood", "component", "รวม", ":" ]

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[ "ทาง", "Hemato", "-", "Add", "Hemaplus", "10000", "unit", "SC", "weekly", "ก่อน", "D/C" ]

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

[ "2.", "Hypotension", "with", "E.", "Facium", "Septicemia" ]

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

[ "แร", "กรับ", "BP", "BP", "97/53", ",", "P", "98", "/min", ",", "มี", "Lt", "thigh", "Marked", "Swelling", "with", "hematoma", "(Rt", "34", "cm", ",", "Lt", "44", "cm)", "แต่", "ถาม", "ประวัติ", "จาก", "ผู้ป่วย", "บอ", "กว่า", "บวม", "พอ", "ๆ", "เดิม" ]

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[ "DX", ":", "Hypotension", "DDX", "Hypovolemia", ",", "Septic", "Shock" ]

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

[ "-", "IV", "Crystalloid", "2500", "mL", ">", "NE", "(4:250)", "IV", "drip", "5", "ml/hr" ]

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[ "-", "Hemodynamic", "stable", ",", "off", "NE", "ตั้งแต่", "Day", "1" ]

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[ "Consult", "ID", ":", "DDX", "source", "from", "Primary", "Bacteremia", ",", "Infected", "Hematoma", "(", "คิดถึง", "น้อยกว่า", ")" ]

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

[ "3.", "Left", "Thigh", "Hematoma" ]

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[ "First", "DX", "14/6/63", "ตั้งแต่", "Last", "Admit", ",", "Present", "ครั้ง", "น", "ี้", "บวม", "พอ", "ๆ", "เดิม", "แต่", "DDX", "ว่า", "เป็น", "cause", "of", "Hypotension", "จึง", "ส่ง", "CT", "WA", "with", "CM", "+", "extended", "to", "Lt", "Thigh", "->", "7.6", "x", "6.6", "x17.6", "cm", "intramuscular", "hematoma", "at", "medial", "and", "posterior", "compartment", "of", "Lt", "thigh", ",", "no", "active", "extravasation", ",", "no", "psoas", "hematoma" ]

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[ "->", "Consult", "Soft", "tissue", ":", "Plan", "Compression", "Lt", "Thigh", ",", "Correct", "Coagulopathy" ]

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[ "->", "Consult", "Plastic", "Sx", "at", "Ward", ":", "คิดถึง", "Non-infected", "Hematoma", "plan", "continue", "light", "compression", ",", "observe", "bleed" ]

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[ "ระหว่าง", "Admit", "วัด", "Thigh", "Circumference", "20", "cm", "เหนือ", "tibial", "Tuberosity", "OD", ":", "37.5", "(30/6/63)", "->", "36", "->", "37", "->", "39", "->", "39", "cm" ]

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[ "วันที่", "3/7/63", "คลำ", "ได้", "Hematoma", "โต", "มากขึ้น", "จึง", "ส่ง", "CT", "Both", "Thigh", ":", "Slightly", "decreased", "size", "with", "chronological", "change", "of", "intramuscular", "hematoma", "in", "adductor", "and", "hamstring", "muscle", "groups", "of", "left", "thigh" ]

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[ "-1/7/63", "ผู้ป่วย", "complain", "ปวด", "แสบ", "บริเวณ", "รู", "ทวาร", "เวลา", "เช็ด", "ก้น", "->", "PR", ":", "+/-", "Indurated", "mass", "at", "6", "o/clock", "->", "consult", "Acute", "Care", "for", "Perianal", "abscess" ]

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[ "หลัง", "ให้ยา", "ไม่", "มีไข้", " ", "ไม่", "มี", "หอบ", "เหนื่อย", " ", "V/S", "stable" ]

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[ "3.", "Wernike", "encepholopathy", "หลังจาก", "ผู้ป่วย", "นอน", "รพ.", "มีปัญหา", "เรื่อง", "มือ", "สั่น", "เหงื่อ", "ออก", "สับสน", "เล็กน้อย", "วุ่นวาย", "ปีน", "เตียง", "PE:", "tremor", ",", "nystagmus", "คิดถึง", "ภาวะ", "Wernike", "encepholopathy", "และ", "alcohol", "withdrawal", "ได้รับ", "การรักษา", "ด้วย", "IV", "Diazepam", "และ", "lorazepam", "ปรับ", "ตาม", "อาการ", "พูดคุย", "alcohol", "cessation", "-->", "ผู้ป่วย", "แจ้ง", "ว่าการ", "กิน", "alc.", "ยัง", "ไม่", "ได้", "เป็นปัญหา", "กับ", "การดำเนินชีวิต" ]

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[ "1.", "MSSA", "CRBSI", "from", "tunnel", "site", "infection" ]

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[ "-off", "Rt", "perm", "catheter", "(29/6)" ]

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[ "2.", "Pseudocolonic", "Obstruction" ]

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[ "-6/7", "ท้องอืด", "มาก", "ไม่", "ถ่าย", "มา", "ตลอด", "สี่", "วันก่อน", "film", "AAS", ":", "Generalized", "Large", "bowel", "and", "small", "bowel", "dilatation", "With", "air", "in", "rectum" ]

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[ "3.", "Volume", "Overload" ]

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[ "ผู้ป่วย", "เหนื่อย", "มากขึ้น", "Crepitation", "BL", "มี", "pink", "frothy", "sputum", "จึง", "notify", "Nephro", "เพิ่ม", "UF", "เป็น", "2000-3000", ">>", "เหนื่อย", "ลดลง", "เสมหะ", "ลดลง" ]

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[ "4.Both", "internal", "Jugular", "vein", "thrombosis" ]

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[ "-VasSx", "ได้", "ทำ", "perm", "cath", "at", "rt", "CFV", "21/7", "-", "no", "complication" ]

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[ "-", "4/7/63", "มี", "subtemp", "มี", "ปัสสาวะ", "เป็น", "เลือด", "มากขึ้น", "ร่วมกับ", "มี", "BP", "drop" ]

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[ "UA", ":", "WBC", "30-50,", "RBC", "50-100,", "Hct", "28%", "(", "จาก", "31%)" ]

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[ "Rx:", "-", "IVF", "resuscitation", "+", "LPB", "transfusion" ]

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[ "2.", "CA", "bladder" ]

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[ "Disseminated", "NTM", "infection", "with", "Conjunctival", "mass", "both", "eyes", "(infectious", "process)" ]

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[ "-", "เดิม", "มี", "Hx", "of", "NTM", "infection", "->", "M.abscessus", "lymphadenitis", "ขณะนี้", "on", "levofloxacin", "+", "azithromycin" ]

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[ "-", "จึง", "Empirical", "ATB", "เป็น", "Imipenem", "+", "amikacin", "+", "levofloxacin", "oral", "+", "azithromycin", "oral" ]

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[ "KOH", "no", "fungal", "seen", ",", "fungal", "culture", "no", "growth" ]

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[ "Mycobacterium", "profile", "II", ":", "no", "AFB", "observed,", "PCR", "nrgative", ",", "culture", "-", "pending" ]

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[ "*", "ใน", "visit", "นี้", "consult", "ENT", "ประเมิน", "ototoxic", "จาก", "amikacin", "เนื่องจาก", "มีโอกาส", "ต้อง", "ใช้", "amikacin", "->", "Rt", "mild", "SNHL" ]

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