text
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Labs drawn there revealed a potassium of 7 .
[ "O", "O", "O", "O", "B-test", "I-test", "O", "O", "O" ]
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X without any changes or corrections .
[ "O", "O", "O", "O", "O", "O", "O" ]
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Approximately five years prior to admission , he began to note a decreased tolerance to exercise .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O" ]
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6 ; however , the bands were 84 % .
[ "O", "O", "O", "O", "O", "B-test", "O", "O", "O", "O" ]
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The patient was transferred here after stopping of the continuous infusion heparin and receiving a dose of Lovenox 60 mg subcutaneously for further diagnostic evaluation and management of the acute lymphoblastic leukemia ( ALL ) .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "I-treatment", "I-treatment", "O", "O", "B-treatment", "I-treatment", "I-treatment", "I-treatment", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : The patient is an 89 - year - old gentleman with multiple medical conditions including coronary artery disease , hypothyroidism , and severe peripheral vascular disease status post multiple revascularizations , and a right below - knee amputation in June 2008 following a thrombosis of his right femoropopliteal bypass graft .
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Briefly , the patient is a 10 - year - old male who presented to the Hospital Emergency Department following an ATV accident .
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Despite increasing fatigue and lethargy , he continues his studies at University of Denver , has a biology major ( he aspires to be an ophthalmologist ) .
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A is a 27 - year - old woman , who suffered from morbid obesity for many years .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "O", "O", "O" ]
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Apparently , she made space for it , but it has not been bought up , so she is still planning on getting that exercising machine .
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She had an EGD and colonoscopy with Dr .
[ "O", "O", "B-test", "I-test", "O", "B-test", "O", "O", "O" ]
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The patient denies any chest pain , palpitations , syncope , or fever .
[ "O", "O", "O", "B-problem", "I-problem", "I-problem", "O", "B-problem", "O", "B-problem", "O", "O", "B-problem", "O" ]
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HISTORY OF PRESENT ILLNESS : The patient is a 69 - year - old gentleman , a good historian , who relates that he was brought in the Emergency Room following an episode of syncope .
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She is currently in arteriogram and a clot has been extracted from the proximal left carotid , but there is still distal clot that they are working on .
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Surgery is consulted today for evaluation .
[ "O", "O", "O", "O", "O", "O", "O" ]
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A chest x - ray prior to discharge showed some bibasilar disease , showing interstitial infiltrates .
[ "B-test", "I-test", "I-test", "I-test", "I-test", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "O", "O", "B-problem", "I-problem", "O" ]
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She usually does not take her meal on time , and also not having her regular meals lately .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : This is a 91 - year - old male with a previous history of working in the coalmine and significant exposure to silica with resultant pneumoconiosis and fibrosis of the lung .
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HISTORY OF PRESENT ILLNESS : A 67 - year - old male with COPD and history of bronchospasm , who presents with a 3 - day history of increased cough , respiratory secretions , wheezings , and shortness of breath .
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The symptoms had been worsening over time .
[ "O", "O", "O", "O", "O", "O", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : This is the case of a 31 - year - old white female admitted to the hospital with pelvic pain and vaginal bleeding .
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She was admitted to the hospitalist service with elevated blood sugars .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "O" ]
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HISTORY OF PRESENT ILLNESS : The patient is a 59 - year - old with a BRCA - 2 mutation .
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On the BAL fluid cell count , the patient only had 5 WBCs and 5 RBCs on the differential .
[ "O", "O", "B-test", "I-test", "I-test", "I-test", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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Prior to the episode , he denies having any symptoms of chest pain or shortness of breath .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "B-problem", "I-problem", "I-problem", "O" ]
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Echo that is pending , and cannot be done till the patient is out of arteriogram , which is her lifesaving procedure right now .
[ "B-test", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-test", "O", "O", "O", "B-treatment", "I-treatment", "I-treatment", "O", "O", "O" ]
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At that time the patient became comatose and required emergent intubation and paralyzation .
[ "O", "O", "O", "O", "O", "O", "B-problem", "O", "O", "B-treatment", "I-treatment", "O", "B-treatment", "O" ]
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The patient was well visiting in ABC , with her daughter that evening .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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She underwent a preoperative workup and clearance for gastric bypass and was found to be an appropriate candidate .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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She did not feel quite well today .
[ "O", "O", "O", "O", "O", "O", "O", "O" ]
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, and flow cytometry was performed on the peripheral blood .
[ "O", "O", "B-test", "I-test", "O", "O", "O", "O", "O", "O", "O" ]
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However , both of these problems have continued .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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The patient denies any loss of consciousness .
[ "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "O" ]
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She had been seen by a dermatologist who said that she had a problem with her sweat glands .
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HISTORY OF PRESENT ILLNESS : The patient is a 66 - year - old African American gentleman with a past medical history of atrial fibrillation and arthritis who presented c / o progressively worsening shortness of breath .
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He then had a tracheostomy placed .
[ "O", "O", "O", "B-treatment", "I-treatment", "O", "O" ]
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The transbronchial biopsies did not show any evidence of pneumocystis , fungal infection , AFB .
[ "B-test", "I-test", "I-test", "O", "O", "O", "O", "O", "O", "B-problem", "O", "B-problem", "I-problem", "O", "B-problem", "O" ]
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This is fairly stable for her .
[ "O", "O", "O", "O", "O", "O", "O" ]
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She came in consult with Dr .
[ "O", "O", "O", "O", "O", "O", "O" ]
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X - ray of the low back did show a mild compression fracture of L1 .
[ "B-test", "I-test", "I-test", "I-test", "I-test", "I-test", "I-test", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O" ]
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Postop acute blood loss anemia was treated with blood transfusions to an adequate level of hemoglobin .
[ "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "O", "O", "B-test", "O" ]
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There was no ground glass change .
[ "O", "O", "O", "B-problem", "I-problem", "I-problem", "O" ]
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Physical therapy and occupational therapy were initiated and continued to work with her towards discharge clearance on the day of her discharge .
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She has had no falls that would contribute to a compression fracture .
[ "O", "O", "O", "O", "B-problem", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "O" ]
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X who after reviewing the clinical and radiological findings recommended she undergo a right total hip arthroplasty and removal of old hardware .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "I-treatment", "I-treatment", "I-treatment", "O", "B-treatment", "I-treatment", "I-treatment", "I-treatment", "O" ]
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The patient is wanting to lose weight before her surgery .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "O" ]
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BAL and transbronchial biopsies were performed .
[ "B-test", "O", "B-test", "I-test", "O", "O", "O" ]
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She has no previous history of fever blisters .
[ "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O" ]
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The patient currently is receiving feedings via tube and also she has a tracheostomy in place .
[ "O", "O", "O", "O", "O", "B-treatment", "O", "B-treatment", "O", "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O" ]
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She has been on multiple courses of antibiotics .
[ "O", "O", "O", "O", "B-treatment", "I-treatment", "I-treatment", "I-treatment", "O" ]
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He also began taking Accutane for persistent acne in December ( this agent was stopped on 02/19/2007 ) .
[ "O", "O", "O", "O", "B-treatment", "O", "B-problem", "I-problem", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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He was not amnestic to the event .
[ "O", "O", "O", "B-problem", "O", "O", "O", "O" ]
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These studies became available the afternoon of 02/23/2007 , and confirmed the diagnosis of precursor - B acute lymphoblastic leukemia .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O" ]
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She has made multiple attempts at nonsurgical weight loss without success .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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She had pain in her left posterior pelvic and low back region .
[ "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O" ]
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Was started on protocol medication and that is similar to TPA , which is an investigational study .
[ "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "O", "O", "B-treatment", "O", "O", "O", "O", "O", "O", "O" ]
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Her diastolic at that time rose up to 190 , likely the result of the acute second stroke .
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HISTORY OF PRESENT ILLNESS : This is a 53 - year - old Hispanic man with diabetes , morbid obesity , hepatitis C , cirrhosis , history of alcohol and cocaine abuse , who presented in the emergency room on 01/07/09 for ground - level fall secondary to weak knees .
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HISTORY OF PRESENT ILLNESS : A 48 - year - old African - American male with a history of coronary artery disease , COPD , congestive heart failure with EF of 20 % - 25 % , hypertension , renal insufficiency , and recurrent episodes of hypertensive emergency , admitted secondary to shortness of breath and productive cough .
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Y was consulted in Interventional Radiology .
[ "O", "O", "O", "O", "O", "O", "O" ]
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The patient has a history of prior stereotactic core needle biopsy of the left breast , which was performed on 01/27/04 .
[ "O", "O", "O", "O", "O", "O", "O", "B-test", "I-test", "I-test", "I-test", "I-test", "I-test", "I-test", "I-test", "O", "O", "O", "O", "O", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : The patient is a 56 - year - old presenting with a large mass aborted through the cervix .
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She denies any rashes or skin lesions .
[ "O", "O", "O", "B-problem", "O", "B-problem", "I-problem", "O" ]
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HISTORY OF PRESENT ILLNESS : This patient is a 24 - year - old African - American female who presented to the hospital with buttock pain .
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XYZ , Dr .
[ "O", "O", "O", "O" ]
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He was seen by me in the office on the day of admission and noted to be dyspneic with audible wheezing and he was admitted for acute asthmatic bronchitis , superimposed upon longstanding COPD .
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She was admitted .
[ "O", "O", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : Details are present in the dictated report .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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He then changed antibiotic regiment to vancomycin and doripenem .
[ "O", "O", "O", "B-treatment", "I-treatment", "O", "B-treatment", "O", "B-treatment", "O" ]
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3 with heart rate of 130 , respiratory rate of 24 .
[ "O", "O", "B-test", "I-test", "O", "O", "O", "B-test", "I-test", "O", "O", "O" ]
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The patient was scheduled to undergo her procedure on 12/31/09 ; however , at blood glucose check , the patient was noted to be hyperglycemic , her sugar was 438 .
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ABC is a 57 - year - old woman .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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This study showed moderately increased diffuse bone marrow metabolic activity .
[ "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O" ]
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Further staging revealed borderline mediastinal pretracheal lymphadenopathy but was otherwise unremarkable .
[ "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "O", "O", "O", "O", "O" ]
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X dated July 23 , 2008 .
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CT scan of the abdomen was obtained to rule out possible appendicitis and on that CT , a large clot in the inferior vena cava extending to the right iliac and femoral veins was found .
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He stated that he had had a brother who died of heart failure at age 72 .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "O", "O", "O" ]
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He also noted that over the past year his left testicle had been getting progressively more swollen and painful .
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From there , he has been admitted to Long - Term Acute Care Facility for wound care with wound VAC placement .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "O", "B-treatment", "I-treatment", "I-treatment", "O" ]
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Dr .
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XYZ and immunopathology was done to look for CMV .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "O" ]
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The patient was admitted because of persistent high fevers without a clear - cut source of infection .
[ "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "O", "O", "O", "O", "O", "O", "O", "B-problem", "O" ]
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Her diarrhea now has settled down and she is having less urinary incontinence , less pedal edema .
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The patient also has a long - standing history of diabetes which is treated with Micronase daily .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "O", "O", "O", "O", "B-treatment", "O", "O" ]
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XYZ on MM / DD / YYYY .
[ "O", "O", "O", "O", "O", "O", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : The patient is a 45 - year - old male complaining of abdominal pain .
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The patient had 3 nucleoli on the biopsy specimens that stained positive and were consistent with CMV infection .
[ "O", "O", "O", "O", "O", "O", "B-test", "I-test", "I-test", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O" ]
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XYZ saw the patient .
[ "O", "O", "O", "O", "O" ]
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She has had no nausea , vomiting , or diarrhea .
[ "O", "O", "O", "O", "B-problem", "O", "B-problem", "O", "O", "B-problem", "O" ]
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She is on different antidepressants and that may be causing some difficulties with unintentional weight loss .
[ "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "O" ]
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0.00074319664, 0.0072496207, -0.032257024, 0.023378132, 0.018465063, -0.021660453, -0.008367376 ]
He denied orthopnea or paroxysmal nocturnal dyspnea but did become dyspneic after walking 2 - 3 blocks where before he had been able to jog 2 - 3 miles .
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She does not remember the name of the antibiotic .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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The patient also has gotten back on her Zoloft because she thinks she may be depressed , sleeping all the time , just not herself and really is disturbed that she cannot be more mobile in things .
[ "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "O", "O", "O", "B-problem", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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He did report that he had had an episode of hemoptysis approximately 2 years prior to admission for which he did not seek medical attention .
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Approximately five weeks prior to his current presentation , the patient was involved in a motor vehicle accident at 40 mph .
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HISTORY OF PRESENT ILLNESS : For complete details , please see dictated history and physical by Dr .
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Appropriate blood studies were obtained and he underwent a PET / CT scan as part of his diagnostic evaluation .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-test", "I-test", "I-test", "I-test", "I-test", "O", "O", "O", "O", "O", "O", "O" ]
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ABC is a pleasant 60 - year - old Caucasian female who was diagnosed in April 2008 with diffuse large B - cell lymphoma after she developed visual saltation , changes , and confusion .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O", "O", "O", "B-problem", "I-problem", "O", "O", "O", "O", "B-problem", "O" ]
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She did mention having some issues with fruits that did upset her stomach .
[ "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "O", "O", "O", "O", "O", "O" ]
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