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She was admitted to the hospital for treatment of her hyperglycemia .
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In the ER he was initially afebrile , but then spiked up to 101 .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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During the evaluation she was found to be in atrial fibrillation on admission with hypertension that was treated with labetalol en route .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "O", "O", "B-problem", "O", "O", "O", "O", "B-treatment", "O", "O", "O" ]
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Nephrology is consulted regarding renal insufficiency .
[ "O", "O", "O", "O", "B-problem", "I-problem", "O" ]
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X was called early this morning due to hypotension , SBP in the 70s .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "O", "B-test", "O", "O", "O", "O" ]
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Unfortunately over the past few months he has returned to pipe smoking .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O" ]
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He has been taking Tylenol and Advil to help decrease the fevers , but the fever has continued to rise .
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The patient was seen in my office for followup appointment on 06/24/08 .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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XYZ , her rheumatologist , and with pathology .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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Diagnostic studies in the emergency department included a CBC , which revealed a white blood cell count of 23 , 500 , and a low potassium level of 2 .
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Discussions were held with Dr .
[ "O", "O", "O", "O", "O", "O" ]
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Y were able to identify the neck of the false aneurysm in the left breast mound and this was injected with ultrasound guidance with thrombin material .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "O" ]
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She came to the hospital on the first .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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I discussed the issues with the patient and her husband .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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At this time , the patient ' s glucose was in the 175 range .
[ "O", "O", "O", "O", "B-test", "I-test", "I-test", "I-test", "I-test", "O", "O", "O", "O", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : This is a 76 - year - old female that was admitted with fever , chills , and left pelvic pain .
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HISTORY OF PRESENT ILLNESS : This is a 36 - year - old , gravida 3 , para 3 female who presented initially to the office with abnormal menstrual bleeding and increase in flow during her period .
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She had temperature of 104 degrees F .
[ "O", "O", "B-test", "O", "O", "O", "O", "O" ]
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The patient denies nosebleed , visual changes , nausea , vomiting , diarrhea or changes in bowel habits .
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MRIs of the lumbar spine and the pelvis and both thighs have been unremarkable for any inflammatory process .
[ "B-test", "I-test", "I-test", "I-test", "I-test", "I-test", "I-test", "I-test", "I-test", "I-test", "I-test", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "O" ]
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She was brought down with Cardizem .
[ "O", "O", "O", "O", "O", "B-treatment", "O" ]
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He complained of bilateral knee pain , but also had other symptoms including hematuria and epigastric pain for at least a month .
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He was given 1 dose of Zosyn and then started on levofloxacin and Flagyl last night .
[ "O", "O", "O", "B-treatment", "I-treatment", "I-treatment", "I-treatment", "O", "O", "O", "O", "B-treatment", "O", "B-treatment", "O", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : The patient is a 59 - year - old gravida 1 , para 0-0-1 - 0 , with a history of stage IIIC papillary serous adenocarcinoma of the ovary who presented to the office today with left leg pain that started on Saturday .
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HISTORY OF PRESENT ILLNESS : Ms .
[ "O", "O", "O", "O", "O", "O", "O" ]
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It was felt that the patient would benefit from removal of her gallbladder prior to having band placement secondary to her diabetes and the risk of infection of the band .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "I-treatment", "I-treatment", "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "B-problem", "O", "O", "O", "O", "B-problem", "O", "O", "O", "O" ]
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At his follow - up appointment , it was decided to re - admit The patient for debridement and revision of his stump wound .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "I-treatment", "I-treatment", "I-treatment", "I-treatment", "I-treatment", "O" ]
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On arrival at the hospital , she was short of breath at rest and was having difficulty completing her sentences .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "O" ]
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On exam , he has a lacerated wound on the plantar aspect of the right foot , which extends from the second metatarsal area to the fifth metatarsal area , closed with the area of the head of these bones .
[ "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O", "O", "O", "O", "O", "O", "O", "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 described anorexia with occasional nausea and vomiting of non - bilious material along with a feeling of light - headedness that occurred shortly after standing from a sitting or lying position .
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Cultures taken from the wound on 06/25/2008 , were reported positive for methicillin - sensitive Staphylococcus aureus ( MSSA ) .
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TSH was normal .
[ "B-test", "O", "O", "O" ]
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I spoke with the pathologist , Dr .
[ "O", "O", "O", "O", "O", "O", "O", "O" ]
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A biopsy revealed small round cells and repeat biopsy on MM / DD / YYYY also showed round cells consistent with Ewing sarcoma , genetic analysis indicated a T1122 translocation .
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HISTORY OF PRESENT ILLNESS AND HOSPITAL COURSE : For details , please refer to clinic notes and OP notes .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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In brief , the patient is a 47 - year - old female with a posttraumatic AV in the right femoral head .
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The patient was started on intravenous antibiotic therapy with Levaquin and later on that was changed to oral formulation .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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He said he was not wearing his seatbelt and had hit his head on the roof of the car .
[ "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 denied any history of chest pain and did not report any history of myocardial infarction .
[ "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O" ]
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HISTORY OF PRESENT ILLNESS : Ms .
[ "O", "O", "O", "O", "O", "O", "O" ]
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D .
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In the morning , he still had some bilateral wheezing , but no tachypnea .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "O", "O", "B-problem", "O" ]
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Child was brought to Children ' s Hospital and received nebulized treatments in the ER and the Hospitalist Service was contacted regarding admission .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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She has a lot going on with her kids starting back at schools , so she is feeling a bit stressed .
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Dr .
[ "O", "O" ]
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The patient noticed the pain in her left groin and left thigh and also noticed swelling in that leg .
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She does have degenerative disk disease of her lumbar spine but no hip pathology .
[ "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O", "O", "B-problem", "I-problem", "O" ]
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It has been spiking ever since and she has had left sacroiliac type hip pain .
[ "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 not had any musculoskeletal or neurological deficits .
[ "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "O" ]
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He was noted to have some increased workup of breathing and parents returned to the office on the day of admission .
[ "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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At the time of admission , he denied fever , diaphoresis , nausea , chest pain or other systemic symptoms .
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HISTORY OF PRESENT ILLNESS : This patient is a 76 - year - old woman who was treated with intravenous ceftriaxone and intravenous clindamycin at a care facility for pneumonia .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "O", "B-treatment", "I-treatment", "O", "O", "O", "O", "O", "B-problem", "O" ]
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Z and Dr .
[ "O", "O", "O", "O" ]
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It showed 43 % neutrophils , 45 % lymphocytes .
[ "O", "O", "O", "O", "B-test", "O", "O", "O", "B-test", "O" ]
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She has developed a pressure decubitus on her right trochanter ischial area of several weeks ' duration .
[ "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O", "O", "O", "O", "O", "O" ]
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Basically the patient states that yesterday she fell and she is not certain about the circumstances , on her driveway , and on her left side hit a rock .
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The patient ' s pain resolved .
[ "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O", "O" ]
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No calcifications could be identified in examination of the biopsy material including radiograph taken of the preserved tissue .
[ "O", "B-problem", "O", "O", "O", "O", "O", "O", "B-test", "I-test", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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He does have some ankle pain , worse on the right than the left .
[ "O", "O", "O", "B-problem", "I-problem", "I-problem", "O", "B-problem", "O", "O", "O", "O", "O", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : This is the initial clinic visit for a 41 - year - old worker who is seen for a foreign body to his left eye .
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HISTORY OF PRESENT ILLNESS : The patient is a 43 - year - old male who was recently discharged from our care on the 1/13/06 when he presented for shortness of breath .
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Her symptoms are fairly longstanding but have been worsening as of late .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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Indicates pressure type of discomfort with throbbing component .
[ "O", "B-problem", "I-problem", "I-problem", "I-problem", "O", "B-problem", "I-problem", "O" ]
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She states that she has tried several different things to help her quit smoking and she has failed everything and had heard good results about Chantix and wanted to give it a try .
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Apparently , he was started on glipizide at that time .
[ "O", "O", "O", "O", "O", "O", "B-treatment", "O", "O", "O", "O" ]
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In early November , he developed pain in the posterior part of his upper right leg , which he initially thought was related to skateboarding and muscle strain .
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The patient does states that there is significant deformity to the front of the vehicle that she was driving , which again was a minivan .
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The patient states that she believes she may have passed out shortly after the accident .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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3 seconds with an INR of 6 .
[ "O", "O", "O", "B-test", "I-test", "O", "O", "O" ]
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The patient denies any other problems at this point except for a flare of arthritis since discontinuing the methotrexate .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "O", "O", "B-treatment", "I-treatment", "O" ]
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The mother has also reported irregular breathing , which she describes as being rapid breathing associated with retractions .
[ "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "O", "B-problem", "O" ]
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3 .
[ "O", "O" ]
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The patient continues to have sore throat .
[ "O", "O", "O", "O", "O", "B-problem", "I-problem", "O" ]
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The patient was accompanied by her parents .
[ "O", "O", "O", "O", "O", "O", "O", "O" ]
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She reports that she has chest pain at night .
[ "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "O" ]
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It has been better for one week as well .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : This patient is a 57 - year old white Cuban woman with a long history of rheumatoid arthritis .
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At the time of removal , we were unable to place another tube within the collecting system , and the patient was admitted for percutaneous nephrostomy placement .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-treatment", "I-treatment", "I-treatment", "O" ]
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She has rather diffuse pain involving both large and small joints .
[ "O", "O", "O", "B-problem", "I-problem", "O", "O", "O", "O", "O", "O", "O" ]
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Her prothrombin time is now 83 .
[ "B-test", "I-test", "I-test", "O", "O", "O", "O" ]
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There were no oblique vectors or force placed on this accident .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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Physical therapy was prescribed and the discomfort temporarily improved .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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HISTORY OF PRESENT ILLNESS : The patient is a 63 - year - old white male who was admitted to the hospital with CHF and lymphedema .
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She denies syncope , presyncope , or palpitations .
[ "O", "O", "B-problem", "O", "B-problem", "O", "O", "B-problem", "O" ]
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He has a past history of known hyperthyroidism since 1992 and a more recent history of atrial fibrillation and congestive cardiac failure with an ejection fraction of 20 % - 25 % .
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Old medical records were reviewed .
[ "O", "O", "O", "O", "O", "O" ]
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He states that he was doing his normal job when he felt a foreign body sensation .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "O" ]
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These changes have been constant since onset this morning , have not improved or worsened , and the patient notes no modifying factors .
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She described the headache as worse in her life and it was also accompanied by blurry vision and scotoma .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O", "B-problem", "O" ]
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The final histologic diagnosis of the tissue removed during that procedure revealed focal fibrosis .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O" ]
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Left renal cyst decortication .
[ "B-treatment", "I-treatment", "I-treatment", "I-treatment", "O" ]
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She has a history of having had a similar problem last year which resolved in about three treatments .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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He was restarted on PTU and discharged from the hospital on this medication .
[ "O", "O", "O", "O", "B-treatment", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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Additional imaging studies confirmed the suspicious nature of these calcifications .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O" ]
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Left radical nephrectomy .
[ "B-treatment", "I-treatment", "I-treatment", "O" ]
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History is taken mostly from the emergency room record .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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He was not even aware of the fever .
[ "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "O" ]
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The patient has continued to have right - sided arm and hand weakness , and has difficulty expressing herself .
[ "O", "O", "O", "O", "O", "O", "B-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "I-problem", "O", "O", "O", "B-problem", "I-problem", "I-problem", "O" ]
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He used to work out regularly , lifting lifts , doing abdominal exercises , and playing basketball and found he did not have energy to pursue these activities .
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