Datasets:
Tippawan
/
imb

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[ "consult", "hepato", "sx", "r/o", "traumatic", "rupture", "liver", "cyst", "ให้", "งด", "abdominal", "paracentesis", ",", "observe", "abdominal", "sign", ",", "เฝ้า", "ระวัง", "ภาวะ", "hepatic", "hydrotholax" ]
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1,700
[ "at", "ward", "Hct", "20.7", ">", "PRC", "1unit", ">", "23.3", ">", "PRC", "1unit", "28.9", "หลังจากนั้น", "Vital", "signs", ",", "Hct", "stable", "ตลอด" ]
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1,701
[ "6.", "Gross", "hematuria" ]
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1,702
[ "ขณะนี้", "suspected", "platelet", "dysfunction", "from", "uremia", "V/S,", "Hct", "stable" ]
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1,703
[ "1.", "Paraquat", "ingestion", "with", "lung", "fibrosis", ",", "acute", "renal", "failure", "Pseudomenbranous", "mucositis" ]
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1,704
[ "and", "liver", "injury" ]
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1,705
[ "2.", "Acute", "pancreatitis" ]
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1,706
[ "ปวดท้อง", "มาก", "ขึ้น", "serum", "amylase", "427,", "serum", "lipase", "451" ]
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1,707
[ "Mx", "IV", "hydration", ",", "pain", "control" ]
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1,708
[ "3.", "Aspirate", "pneumonia" ]
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1,709
[ "มี", "ไข้", " ", "ไอ", "เสมหะ", "มากขึ้น", "มีประวัติ", "สำลัก", "ระหว่าง", "admit", "lung" ]
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1,710
[ "crepitation", "CXR", "increase", "infiltration" ]
[ 1, 1, 2, 2 ]
1,711
[ "1.", "disseminated", "TB", "ได้", "Anti", "TB", "เป็น", "Ethambutol", ",", "Levofloxacin", ",", "Amikin" ]
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1,712
[ "2.", "Gram", "negative", "sepsis", "break", "through", "tienem", "->", "K.pneumoniae", "CRE", "ได้", "ATB", "เป็น", "Colistin", "+", "Fosfomycin", "26/7/63", "due", "to", "Gram", "negative", "sepsis", "=>", "off", "fosfomycin", "29/7/63" ]
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1,713
[ "มี", "septic", "shock", "ขึ้น", "มา", "ใหม่", "ขอ", "start", "Vamcomicin", "+", "pip/tazo", "คลุม", "เชื้อ", "ที่", "colistin", "หลุด", "31/7/63" ]
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1,714
[ "3.", "Invasive", "candidasis", ">", "start", "Amphotericin", "B", "27/7/63", "due", "to", "C-line", "budding", "yeast", "=>", "off", "29/7/63", "then", "start", "micafungin", "29/7/63" ]
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1,715
[ "5.", "Ischemic", "small", "bowel", "from", "severe", "hypotension", "มี", "BP", "drop", "80/50", "mm", "Hg", "NSS+Albumin", "load", "+", "start", "Levophed", "(8:250)", "titrat", "up", "to", "80", "cc/hr" ]
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1,716
[ "7.", "Hepatocellular", "injury", "with", "cholestasis", "pattern", "DDx", "from", "INH", ",", "Ischemic", "hepatitis" ]
[ 0, 1, 2, 0, 1, 0, 0, 0, 1, 0, 1, 2 ]
1,717
[ "10.", "HyperCPKemia", "from", "drug", "induced" ]
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1,718
[ "-", "คุย", "กับ", "ญาติ", "เรื่อง", "แผน", "การรักษา", "เนื่องจาก", "ได้", "ATB", "ปริมาณมาก", "และ", "เพิ่ม", "Vanco", "+", "pip/tazo", "ขอ", "ดู", "การ", "ตอบสนอง", "1-2", "วัน", "ถ้า", "หลังจากนี้", "ความดัน", "ยัง", "ลด", "ต่ำ", "ลง", "คิด", "ว่าการ", "เพิ่ม", "innotrop", "ไม่", "มีประโยชน์", "=>", "ญาติ", "รับทราบ", "ไม่", "เพิ่ม", "ยากระตุ้น", "ความดัน" ]
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1,719
[ "1.", "Community", "accuired", "pneumonia" ]
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1,720
[ "หลัง", "ทำ", "electrical", "cardioversion", "->", "EKG:", "NSR", "rate", "77/min", "ไม่", "มี", "อาการ", "เหนื่อย", "ไม่", "ใจสั่น", "ปรึกษา", "พิจารณา", "ให้", "oral", "amiodarone", "(200)", "1x2", "po", "pc", "นาน", "1", "เดือน", "then" ]
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1,721
[ "male", "65", "ปี", "No", "underlying", "disease", ",", "active", "smoking" ]
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1,722
[ "1", "ชม", "เเน่น", "หน้าอก", "คล้าย", "ของ", "ทับ" ]
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1,723
[ "ekg:", "ste", "V1-V6", ",", "new", "RBBB", ">>", "activate", "STEMI", "fast", "tract" ]
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1,724
[ "CAG:", "total", "LM", "occlusion", "มีปัญหา", "ความดัน", "ตก", " ", "on", "IABP" ]
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1,725
[ "•", "cardiogenic", "shock", "with", "anterior", "wall", "MI" ]
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1,726
[ "ระหว่าง", "on", "IABP", "ผู้ป่วย", "ยังมี", "ปัญา", "ความดัน", "ตก", "เเนว", "โน้ม", "ยากระตุ้น", "สูง", "จึง", "consult", "CVT", "for", "ECMO" ]
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1,727
[ "หลังจากนั้น", "อาการ", "เเย่ลง", "echo", "bedside", ":", "cardiac", "tamponade", "+", "pericardial", "effusion", "เพิ่มขึ้น", "s/p", "pericardial", "window", "ได้", "fluid", "200", "ml", "หลังจากนั้น", "อาการ", "เริ่ม", "คงที่" ]
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1,728
[ "2.", "acute", "right", "limb", "ischemia" ]
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1,729
[ "3.", "AKI", "with", "lactic", "acidosis" ]
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1,730
[ "4.", "ischemic", "hepatitis" ]
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1,731
[ "คิดถึง", "consumption", "coagulopathy", "จาก", "massive", "blood", "transfusion", "ร่วมกับ", "อาจ", "มี", "DIC", "จาก", "ECMO", "supportive", "โดน", "ให้", "blood", "component", "transfusion" ]
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1,732
[ "on", "ET", "tube", "with", "ventilator", ",", "prolong", "intubation", ",", "proceed", "to", "tracheostomy", ",", "wean", "off", "ventilator", "and", "wean", "off", "oxygen", "collar" ]
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1,733
[ "on", "PEG", "เนื่องจาก", "ต้อง", "feed", "ระยะยาว", ",", "bed", "ridden" ]
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1,734
[ "5.", "RLL", "mass", "1.7", "cm", "diagnosis", "2556", "F/U", "ล่าสุด", "CXR", "10/2562", "no", "increase", "sized", "2", "cm" ]
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1,735
[ "7.", "History", "stable", "angina", "2560", "Echocardiogram", "28/6/60", "-", "LV", "concentric", "hypertrophy", ",", "LVEF", "60%," ]
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1,736
[ "LA", "is", "mildly", "dilated", ",", "mildly", "dilated", "of", "aortic", "root", "(Ao", "sinus", "3.63", "cm)", "ยัง", "ไม่", "คิดถึง", "ACS", ",", "on", "ASA", "81", "mg/d" ]
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1,737
[ "2", "days", "PTA", "มี", "อาการ", "ไอ", "เสมหะ", "ไม่", "หอบ", "เหนื่อย", "ไม่", "มี", "น้ำมูก", "ทานอาหาร", "ได้", "ปกติ" ]
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1,738
[ "1", "days", "PTA", "เริ่ม", "ม", "ี", "ไข้", "หนาวสั่น", "วัด", "ไข้", "ที่", "บ้าน", "ได้", "39", "+", "O2", "88", "RA", " ", "เหนื่อย", "เพลีย", " ", "ซึม", "ลง", "เล็กน้อย", " ", "จึง", "พา", "มา", "รพ." ]
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1,739
[ "แร", "กรับ", "At", "ER", "T", "38.4", "BP126/77", "HR", "102", "RR", "24", "O2", "RA", "92%" ]
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1,740
[ "Lungs:", "RLL", "crepitation", ",", "expiratory", "wheezing", "Rt" ]
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1,741
[ "EKG:", "(21/6/63):", "Atrial", "flutter", "?", ",", "HR", "102/min", ",", "no", "ST", "change" ]
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1,742
[ "Dx.", "UTI", "with", "Pneumonia" ]
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1,743
[ "1.", "Recurrent", "UTI" ]
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1,744
[ "-", "US", "KUB", "(18/8/63)", ":", "small", "size", "bilateral", "parenchyma,", "no", "renal", "stone,", "RU", "notcorrectable", "due", "to", "poor", "cooperated,(void", "symptom", "บอก", "ไม่", "ได้", ")", "ddx", "ทาง", "Neurogenic", "bladder", "จาก", "Dementia", "+", "parkinsonism", "มากกว่า" ]
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1,745
[ "or", "Obstructive", "airway", "disease", "(suspected", "adult", "onset", "atopic", "eosinophilic", "asthma", ")" ]
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1,746
[ "-", "ช่วง", "อยู่", "RCU", "titrate", "off", "O2", "to", "RA", "ได้", "เมื่อ", "1", "/9/63", ",", "F/U", "CXR", ":", "no", "significance", "new", "infiltration,", "no", "lung", "atelectasic" ]
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1,747
[ "-", "IMP:", "Resolved", "pneumonia", "and", "lung", "atelectasis", ",", "Late", "onset", "adult", "eosinophilic", "asthma." ]
[ 0, 0, 1, 2, 0, 1, 2, 0, 1, 2, 2, 2, 2 ]
1,748
[ "3.", "Convulsive", "syncope" ]
[ 0, 1, 2 ]
1,749
[ "Consult", "Cardio", ":", "suggest", "เป็น", "cardiac", "syncope", "มากกว่า", ",", "ให้", "off", "carvediol", "ก่อน", "+", "observe", "ยัง", "ไม่", "มี", "role", "pacemaker" ]
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1,750
[ "-", "หลัง", "off", "Carvediol", "ไม่", "มี", "recurrent", "Bradycardia", "at", "RCU" ]
[ 0, 0, 0, 0, 0, 0, 1, 2, 0, 0 ]
1,751
[ "4.", "Recurrent", "Sinusitis" ]
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1,752
[ "-", "Incidental", "finding", "by", "CT", "Brain", "25/8/63", "from", "AOC:", "พบ", "Fluid", "at", "maxillary", "sinus", "à", "consult", "ENT", "telescope", "bedsite", "1/9/63:", "no", "exudate", "or", "abnormal", "discharge", ",", "Bone", "ด้าน", "ขวา", "หนา", "แต่", "Hx", "ซัก", "ไม่", "ได้", "ชัดเจน", "นึกถึง", "เป็น", "recurrent", "sinusitis", "มากกว่า" ]
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1,753
[ "5.", "UD:", "HT,", "DLP", ",", "GERD", "s,", "Dementia", ",", "Parkinsonism", ",", "Crystal", "induced", "arthritis", ",", "HFpEF" ]
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1,754
[ "คิดถึง", "จาก", "atelectasis", "+", "secretion", "ยัง", "มีปัญหา", "ไม่", "สามารถ", "ไอ", "เสมหะ", "ออก", "เอง", "ได้" ]
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1,755
[ "C/S", "ล่าสุด", "1/10/63", ":", "ESBL", "Klebsiella", ">10^5" ]
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1,756
[ "procalcitonin", "ไม่", "rising", "obsever", "clinical", "ไข้", "ลง", "เอง", "ไม่", "ได้", "ให้", "ATB" ]
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1,757
[ "7.", "immunization", "pneumococcal", "vaccine", "23", "strain", "10/11/63" ]
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1,758
[ "2.", "Suspected", "aucte", "PE" ]
[ 0, 1, 2, 2 ]
1,759
[ "Grandround", "รีวิว", "ประวัติ", "ขณะ", "admit", "25/3/63", "ร่วมกับ", "Review", "CTA", "pulmonary", "กับ", "รังสี", "แล้ว" ]
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1,760
[ "4.Hx", "CHF", "LV", "septum", "จาก", "CT", "2", "cm", "->", "รอ", "นัด", "TTE" ]
[ 0, 1, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0 ]
1,761
[ "Acute", "decompensated", "HF", "with", "non-ischemic", "DCM", "S/P", "LVAD", "HMII", "with", "ACID" ]
[ 1, 2, 2, 0, 1, 2, 0, 0, 0, 0, 0 ]
1,762
[ "นึกถึง", "precipitating", "cause", "from", "excessive", "salt-water", "intake", "มีประวัติ", "ดื่ม", "น้ำ", "เยอะ", "ปะ", "มา", "ณ", "2", "L/day", "+", "weight", "gain" ]
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1,763
[ "CXR", "-", "pulmonary", "congestion", ",", "increased", "CT", "ratio,", "presence", "of", "AICD", "+", "LVAD" ]
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1,764
[ "TTE(22/6/63):", "LVEF34%", ",LVEDD", "40", "mm,", "RAP", "10", "mmHg,", "mild", "TR", ",", "trivial", "MR", ",", "mild", "AR" ]
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1,765
[ "Hospital", "course" ]
[ 0, 0 ]
1,766
[ "Management" ]
[ 0 ]
1,767
[ "7/7/63", "10.00" ]
[ 0, 0 ]
1,768
[ "ย้าย", "กลับมา", "72", "/9", "9/7/63" ]
[ 0, 0, 0, 0, 0 ]
1,769
[ "UA:", "RBC", "100-200,", "occult", "blood", "4+,", "WBC", "5-10,", "epi", "1-2" ]
[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
1,770
[ "follow", "up", "แดง", "ลดลง", "UA", "WBC", "2-3", "RBC", "20-30" ]
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1,771
[ "Case", "ผู้หญิง", "อายุ", "82", "ปี", "สิทธิ์", "ข้าราชการ" ]
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1,772
[ "transfer", "to", "72/9", ":", "1/7/63-2/7/63" ]
[ 0, 0, 0, 0, 0 ]
1,773
[ "transfer", "to", "RCU:", "2/7/63", "-6/9/63" ]
[ 0, 0, 0, 0, 0 ]
1,774
[ "tranfer", "to", "84/10", "ตอ", ":", "6/9/63-14/11/63" ]
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1,775
[ "U/D" ]
[ 0 ]
1,776
[ "STATUS", "พอ", "เดิน", "ได้", "ถ้า", "ใช้", "คน", "ช่วยเหลือ", "ส่วนมาก", "อยู่", "บน", "เตียง", "กินข้าว", "ได้", "เอง", "ไม่", "ได้", "on", "NG/", "Foley" ]
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1,777
[ "Lab" ]
[ 0 ]
1,778
[ "CBC", ":", "Hb", "13", "Hct", "38%,", "WBC", "15870", "(N", "92", "L3.2)", "platelet", "195", "k" ]
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1,779
[ "Blood", "chemistry", ":", "BUN", "162", "Cr", "0.9", "Na", "142", "K", "3.1", "Cl", "101", "HCO3", "23", "Lactate", "3.2", "Mg", "1.6", "PO4", "1.4", "Ca", "9.1", "albumin", "3.6,", "POCT", "Glu", "207" ]
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1,780
[ "-", "ขณะนี้", "consult", "rehab", "->", "start", "Breathmax", "+", "cough", "assist", "device", "+", "bedside", "ambulation" ]
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1,781
[ "ขณะ", "admit", "ที่", "ward", "ยังคง", "wean", "off", "O2", "cannula", "ไม่", "ได้", "ล่าสุด", "จะ", "ยัง", "on", "O2", "cannula", "1", "LPM", "keep", "spO2", ">", "92%" ]
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1,782
[ "(31/7/63", "เคย", "Cardio", "note", "(consult", "for", "R/O", "CHF)", ":", "TTE:", "Good", "LV", "sys", "fn,", "no", "VHD,", "RVSP" ]
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1,783
[ "ให้", "มา", "ประเมิน", "อาการ", "เป็นระยะ" ]
[ 0, 0, 0, 0, 0 ]
1,784
[ "minimal", "secretion", "sound" ]
[ 0, 0, 0 ]
1,785
[ "Mx", "o2", "canula", "1LPM", "Spo2", "95%", "+", "Berodual", "1", "NB", "ช", "ย", "c", "prn", "+", "Pulmicort" ]
[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
1,786
[ "มี", "บางครั้ง", "BT", "37.5-37.8", "clinical", "ดี", "f/u", "Lab", "UA", ",", "UC", "เป็นระยะ" ]
[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
1,787
[ "Refer", "มา", "รพ", "เพื่อ", "ปรับ", "ยา", "ควบคุม", "ความดัน" ]
[ 0, 0, 0, 0, 0, 0, 0, 0 ]
1,788
[ "29/3/63" ]
[ 0 ]
1,789
[ "30/3/63" ]
[ 0 ]
1,790
[ "รอ", "นัด", "MIBG", "ได้", "29-30-31/7/63" ]
[ 0, 0, 0, 0, 0 ]
1,791
[ "MIS", "นัด", "4/8/63" ]
[ 0, 0, 0 ]
1,792
[ "3.DM", "HT" ]
[ 0, 0 ]
1,793