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T1 Age 2 13 28-year-old T2 Personal_background 14 30 African American T3 Sex 31 36 woman T4 Clinical_event 37 46 presented E1 Clinical_event:T4 T5 Nonbiological_location 54 88 R Adams Cowley Shock Trauma Center R1 MODIFY Arg1:T5 Arg2:E1 T6 Nonbiological_location 92 111 Baltimore, Maryland R2 MODIFY Arg1:T6 Arg2:T5 T7 Diagnostic_procedure 117 127 evaluation E2 Diagnostic_procedure:T7 T8 Disease_disorder 143 152 paralysis E3 Disease_disorder:T8 T9 Detailed_description 131 142 right-sided R3 MODIFY Arg1:T9 Arg2:E3 T10 Sign_symptom 168 180 paresthesias E4 Sign_symptom:T10 T11 Detailed_description 157 167 left-sided R4 MODIFY Arg1:T11 Arg2:E4 T12 Clinical_event 193 198 found E5 Clinical_event:T12 T13 Activity 277 283 eating E6 Activity:T13 T14 Activity 313 330 consuming alcohol E7 Activity:T14 T15 Activity 336 343 smoking E8 Activity:T15 T17 Sign_symptom 404 416 asymptomatic E9 Sign_symptom:T17 T18 Time 417 427 that night E10 Time:T18 T19 Sign_symptom 452 465 complications E11 Sign_symptom:T19 A1 POLARITY E11 NEG T20 Activity 432 443 went to bed E12 Activity:T20 T21 Clinical_event 475 480 found E13 Clinical_event:T21 T22 Time 502 523 the following morning E14 Time:T22 T23 Sign_symptom 524 538 unable to move E15 Sign_symptom:T23 T24 Disease_disorder 563 578 physical trauma E16 Disease_disorder:T24 A2 POLARITY E16 NEG T25 Sign_symptom 590 597 falling E17 Sign_symptom:T25 T26 History 620 709 no history of seizures, sickle cell anemia, fever, urinary or bowel incontinence, or pain T27 Disease_disorder 740 756 viral meningitis E18 Disease_disorder:T27 T28 Detailed_description 757 782 without residual deficits R6 MODIFY Arg1:T28 Arg2:E18 T29 Date 783 800 eight years prior E19 Date:T29 T30 History 802 824 gastric bypass surgery T31 History 830 845 cholecystectomy T32 Disease_disorder 882 905 urinary tract infection E20 Disease_disorder:T32 T33 Date 906 921 five days prior E21 Date:T33 T34 Therapeutic_procedure 859 866 treated E22 Therapeutic_procedure:T34 T35 Nonbiological_location 941 960 outside institution R7 MODIFY Arg1:T35 Arg2:E22 T36 Nonbiological_location 211 215 home R8 MODIFY Arg1:T36 Arg2:E5 T37 Detailed_description 216 250 between her nightstand and her bed #1 AnnotatorNotes T37 this is a challenging example for computational parsing - this is implicitly not where you'd expect to find a sleeping person R9 MODIFY Arg1:T37 Arg2:T36 T38 Nonbiological_location 289 311 local restaurant chain R10 MODIFY Arg1:T38 Arg2:E6 T42 Diagnostic_procedure 973 984 vital signs E25 Diagnostic_procedure:T42 T43 Diagnostic_procedure 1002 1013 temperature E26 Diagnostic_procedure:T43 T44 Lab_value 1014 1020 36.8°C T16 Detailed_description 348 357 cigarette R5 MODIFY Arg1:T16 Arg2:E8 T39 Detailed_description 375 388 phencyclidine T40 Detailed_description 390 393 PCP R11 IDENTICAL Arg1:T40 Arg2:T39 R12 MODIFY Arg1:T39 Arg2:E8 T41 Diagnostic_procedure 1022 1036 blood pressure E23 Diagnostic_procedure:T41 T45 Lab_value 1037 1050 155/100 mm Hg R13 MODIFY Arg1:T44 Arg2:E26 R14 MODIFY Arg1:T45 Arg2:E23 R15 SUB_PROCEDURE Arg1:E26 Arg2:E25 R16 SUB_PROCEDURE Arg1:E23 Arg2:E25 T46 Diagnostic_procedure 1052 1062 heart rate E24 Diagnostic_procedure:T46 T47 Lab_value 1063 1082 90 beats per minute R17 MODIFY Arg1:T47 Arg2:E24 R18 SUB_PROCEDURE Arg1:E24 Arg2:E25 T48 Diagnostic_procedure 1084 1100 respiratory rate E27 Diagnostic_procedure:T48 R19 SUB_PROCEDURE Arg1:E27 Arg2:E25 T49 Lab_value 1101 1122 16 breaths per minute R20 MODIFY Arg1:T49 Arg2:E27 T50 Diagnostic_procedure 1131 1148 oxygen saturation E28 Diagnostic_procedure:T50 T51 Lab_value 1152 1155 95% T52 Detailed_description 1159 1167 room air R21 MODIFY Arg1:T52 Arg2:E28 R22 MODIFY Arg1:T51 Arg2:E28 R23 SUB_PROCEDURE Arg1:E28 Arg2:E25 T53 Diagnostic_procedure 1172 1185 physical exam E29 Diagnostic_procedure:T53 T54 Sign_symptom 1203 1208 alert E30 Sign_symptom:T54 T55 Sign_symptom 1213 1221 oriented E31 Sign_symptom:T55 T56 Detailed_description 1225 1231 person T57 Detailed_description 1233 1238 place T58 Detailed_description 1244 1248 time R24 MODIFY Arg1:T56 Arg2:E31 R25 MODIFY Arg1:T57 Arg2:E31 R26 MODIFY Arg1:T58 Arg2:E31 T59 Diagnostic_procedure 1431 1440 sensation E32 Diagnostic_procedure:T59 T60 Lab_value 1445 1451 intact R27 MODIFY Arg1:T60 Arg2:E32 T61 Diagnostic_procedure 1578 1596 Glasgow Coma Scale E33 Diagnostic_procedure:T61 T62 Lab_value 1606 1608 15 R28 MODIFY Arg1:T62 Arg2:E33 T63 Diagnostic_procedure 2130 2147 toxicology screen E34 Diagnostic_procedure:T63 T64 Diagnostic_procedure 2165 2168 PCP E35 Diagnostic_procedure:T64 R29 SUB_PROCEDURE Arg1:E35 Arg2:E34 T65 Lab_value 2152 2160 positive R30 MODIFY Arg1:T65 Arg2:E35 T66 Detailed_description 368 374 liquid R31 MODIFY Arg1:T66 Arg2:T39 T67 Diagnostic_procedure 1254 1275 cranial nerves II–XII E36 Diagnostic_procedure:T67 T68 Lab_value 1281 1295 grossly intact R32 MODIFY Arg1:T68 Arg2:E36 T69 Diagnostic_procedure 1309 1317 strength E37 Diagnostic_procedure:T69 T70 Biological_structure 1325 1346 right lower extremity R33 MODIFY Arg1:T70 Arg2:T71 T71 Lab_value 1305 1308 2/5 R34 MODIFY Arg1:T71 Arg2:E37 T72 Lab_value 1348 1351 3/5 T73 Biological_structure 1359 1379 left lower extremity R35 MODIFY Arg1:T73 Arg2:T72 R36 MODIFY Arg1:T72 Arg2:E37 T74 Lab_value 1385 1388 4/5 R37 MODIFY Arg1:T74 Arg2:E37 T75 Biological_structure 1389 1425 bilaterally in her upper extremities R38 MODIFY Arg1:T75 Arg2:T74 T76 Diagnostic_procedure 1492 1507 verbal response E38 Diagnostic_procedure:T76 T77 Lab_value 1512 1520 oriented T78 Lab_value 1525 1536 appropriate R39 MODIFY Arg1:T77 Arg2:E38 R40 MODIFY Arg1:T78 Arg2:E38 T79 Diagnostic_procedure 1468 1472 eyes E39 Diagnostic_procedure:T79 T80 Lab_value 1457 1463 opened R41 MODIFY Arg1:T80 Arg2:E39 T81 Detailed_description 1473 1486 spontaneously R42 MODIFY Arg1:T81 Arg2:T80 T82 Diagnostic_procedure 1553 1561 commands E40 Diagnostic_procedure:T82 T83 Lab_value 1546 1552 obeyed R43 MODIFY Arg1:T83 Arg2:E40 T84 Diagnostic_procedure 1610 1616 Pupils E41 Diagnostic_procedure:T84 T85 Detailed_description 1622 1627 equal T86 Shape 1629 1634 round T87 Lab_value 1640 1657 reactive to light R44 MODIFY Arg1:T85 Arg2:E41 R45 MODIFY Arg1:T86 Arg2:E41 R46 MODIFY Arg1:T87 Arg2:E41 T88 Sign_symptom 1667 1677 tenderness E42 Sign_symptom:T88 T89 Detailed_description 1681 1690 palpation R47 MODIFY Arg1:T89 Arg2:E42 T90 Biological_structure 1731 1736 spine T91 Biological_structure 1724 1730 lumbar T92 Biological_structure 1710 1718 thoracic T93 Biological_structure 1700 1708 cervical R48 MODIFY Arg1:T91 Arg2:T90 R49 MODIFY Arg1:T92 Arg2:T90 R50 MODIFY Arg1:T93 Arg2:T90 R51 MODIFY Arg1:T90 Arg2:E42 T94 Sign_symptom 1762 1777 signs of trauma E43 Sign_symptom:T94 A3 POLARITY E43 NEG T95 Diagnostic_procedure 1783 1802 anal sphincter tone E44 Diagnostic_procedure:T95 T96 Lab_value 1807 1813 intact R52 MODIFY Arg1:T96 Arg2:E44 T97 Diagnostic_procedure 1824 1834 laboratory E45 Diagnostic_procedure:T97 T98 Lab_value 1835 1848 abnormalities R53 MODIFY Arg1:T98 Arg2:E45 T99 Sign_symptom 1884 1897 hyperlactemia E46 Sign_symptom:T99 T100 Diagnostic_procedure 1908 1922 liver function E47 Diagnostic_procedure:T100 T101 Lab_value 1899 1907 elevated R54 MODIFY Arg1:T101 Arg2:E47 T102 Sign_symptom 1934 1958 electrolyte derangements E48 Sign_symptom:T102 T103 Diagnostic_procedure 1964 1984 complete blood count E49 Diagnostic_procedure:T103 T104 Diagnostic_procedure 2006 2030 complete metabolic panel E50 Diagnostic_procedure:T104 T105 Lab_value 2036 2056 within normal limits R55 MODIFY Arg1:T105 Arg2:E50 R56 MODIFY Arg1:T105 Arg2:E49 T106 Other_entity 2058 2124 These values are summarized along with reference ranges in Table 1 #2 AnnotatorNotes T106 Ignored as reference to figure T107 Diagnostic_procedure 2170 2184 Blood cultures E51 Diagnostic_procedure:T107 T110 Detailed_description 2250 2266 serotype 4,12: i T111 Diagnostic_procedure 2277 2292 repeat cultures E53 Diagnostic_procedure:T111 T112 Date 2299 2313 two days later E54 Date:T112 T113 Disease_disorder 2327 2340 streptococcus E55 Disease_disorder:T113 T108 Disease_disorder 2230 2249 Salmonella enterica E52 Disease_disorder:T108 T109 Detailed_description 2213 2229 aerobic bacteria R57 MODIFY Arg1:T109 Arg2:E52 T114 Detailed_description 2342 2349 aerobic T115 Detailed_description 2354 2365 non-aerobic R58 MODIFY Arg1:T114 Arg2:E55 R59 MODIFY Arg1:T115 Arg2:E55 T116 Detailed_description 2319 2326 group B R60 MODIFY Arg1:T116 Arg2:E55 T117 Diagnostic_procedure 2417 2431 stool cultures E56 Diagnostic_procedure:T117 T118 Diagnostic_procedure 2379 2393 blood cultures E57 Diagnostic_procedure:T118 T119 Lab_value 2399 2407 negative R61 MODIFY Arg1:T119 Arg2:E56 R62 MODIFY Arg1:T119 Arg2:E57 T120 Medication 2433 2446 Metronidazole E58 Medication:T120 T121 Medication 2451 2461 vancomycin E59 Medication:T121 T122 Medication 2516 2527 ceftriaxone E60 Medication:T122 T123 Diagnostic_procedure 2598 2617 autoimmunity workup E61 Diagnostic_procedure:T123 T124 Diagnostic_procedure 2628 2649 anti-nuclear antibody E62 Diagnostic_procedure:T124 T125 Diagnostic_procedure 2660 2667 HLA-B27 E63 Diagnostic_procedure:T125 T126 Lab_value 2691 2711 within normal limits R63 MODIFY Arg1:T126 Arg2:E61 T127 Diagnostic_procedure 2651 2654 ANA E64 Diagnostic_procedure:T127 R64 IDENTICAL Arg1:E64 Arg2:E62 R65 SUB_PROCEDURE Arg1:E62 Arg2:E61 R66 SUB_PROCEDURE Arg1:E63 Arg2:E61 T128 Diagnostic_procedure 2723 2746 computerized tomography E65 Diagnostic_procedure:T128 T129 Biological_structure 2790 2795 spine T130 Disease_disorder 2815 2824 fractures E66 Disease_disorder:T130 A4 POLARITY E66 NEG T131 Biological_structure 2783 2789 lumbar T132 Biological_structure 2769 2777 thoracic T133 Biological_structure 2759 2767 cervical R67 MODIFY Arg1:T131 Arg2:T129 R68 MODIFY Arg1:T132 Arg2:T129 R69 MODIFY Arg1:T133 Arg2:T129 R70 MODIFY Arg1:T129 Arg2:E65 T134 Biological_structure 2808 2814 spinal R71 MODIFY Arg1:T134 Arg2:E66 T135 Diagnostic_procedure 2826 2852 Magnetic resonance imaging E67 Diagnostic_procedure:T135 T136 Diagnostic_procedure 2854 2857 MRI E68 Diagnostic_procedure:T136 R72 IDENTICAL Arg1:E68 Arg2:E67 T137 Sign_symptom 2890 2903 abnormalities E69 Sign_symptom:T137 A5 POLARITY E69 NEG T138 Biological_structure 2877 2889 intracranial R73 MODIFY Arg1:T138 Arg2:E69 T139 Sign_symptom 2978 2983 edema E70 Sign_symptom:T139 T140 Biological_structure 2966 2977 spinal cord R74 MODIFY Arg1:T140 Arg2:E70 T141 Sign_symptom 2985 3001 disc protrusions E71 Sign_symptom:T141 T142 Biological_structure 3005 3009 C3–4 T143 Biological_structure 3011 3015 C4–5 T144 Biological_structure 3021 3025 C5–6 R75 MODIFY Arg1:T142 Arg2:E71 R76 MODIFY Arg1:T143 Arg2:E71 R77 MODIFY Arg1:T144 Arg2:E71 T145 Diagnostic_procedure 2909 2955 enhancement within the central aspect of C3–T2 E72 Diagnostic_procedure:T145 R78 SUB_PROCEDURE Arg1:E72 Arg2:E67 T146 Sign_symptom 3063 3068 edema E73 Sign_symptom:T146 T147 Biological_structure 3031 3062 bilateral posterior neck muscle R79 MODIFY Arg1:T147 Arg2:E73 T148 Therapeutic_procedure 3072 3087 lumbar puncture E74 Therapeutic_procedure:T148 A6 POLARITY E74 NEG T149 Time 3213 3229 Four hours after E75 Time:T149 T150 Diagnostic_procedure 3248 3256 strength E76 Diagnostic_procedure:T150 T151 Lab_value 3275 3287 deteriorated T152 Lab_value 3291 3294 1/5 R80 MODIFY Arg1:T151 Arg2:E76 R81 MODIFY Arg1:T152 Arg2:E76 T153 Biological_structure 3298 3313 all extremities R82 MODIFY Arg1:T153 Arg2:E76 T154 Diagnostic_procedure 3324 3338 proprioception E77 Diagnostic_procedure:T154 T155 Lab_value 3319 3323 lost T156 Biological_structure 3346 3350 toes T157 Detailed_description 3351 3362 bilaterally R83 MODIFY Arg1:T157 Arg2:T155 R84 MODIFY Arg1:T155 Arg2:E77 R85 MODIFY Arg1:T156 Arg2:E77 T158 Diagnostic_procedure 3384 3403 anal sphincter tone E78 Diagnostic_procedure:T158 T159 Lab_value 3377 3383 absent R86 MODIFY Arg1:T159 Arg2:E78 T160 Clinical_event 3421 3429 admitted E79 Clinical_event:T160 T161 Nonbiological_location 3437 3468 neurotrauma intensive care unit R87 MODIFY Arg1:T161 Arg2:E79 T162 Therapeutic_procedure 3530 3540 intubation E80 Therapeutic_procedure:T162 T163 Detailed_description 3517 3529 endotracheal R88 MODIFY Arg1:T163 Arg2:E80 T164 Disease_disorder 3548 3567 respiratory failure E81 Disease_disorder:T164 T165 Therapeutic_procedure 3610 3625 lumbar puncture E82 Therapeutic_procedure:T165 T166 Disease_disorder 3686 3689 ATM E83 Disease_disorder:T166 #3 AnnotatorNotes E83 acute transverse myelitis T167 Diagnostic_procedure 3752 3784 workup for infectious etiologies E84 Diagnostic_procedure:T167 T168 Therapeutic_procedure 3845 3868 Plasma exchange therapy E85 Therapeutic_procedure:T168 T169 Disease_disorder 3913 3916 ATM E86 Disease_disorder:T169 T170 Therapeutic_procedure 3942 3949 therapy E87 Therapeutic_procedure:T170 T171 Disease_disorder 3971 3983 quadriplegic E88 Disease_disorder:T171 T172 Sign_symptom 4012 4016 pain E89 Sign_symptom:T172 T173 Biological_structure 4001 4011 neurologic R89 MODIFY Arg1:T173 Arg2:E89 T174 Therapeutic_procedure 4029 4041 tracheostomy E90 Therapeutic_procedure:T174 T175 Disease_disorder 4059 4078 respiratory failure E91 Disease_disorder:T175 T176 Detailed_description 4049 4058 prolonged R90 MODIFY Arg1:T176 Arg2:E91 T177 Detailed_description 3926 3933 maximal R91 MODIFY Arg1:T177 Arg2:E87 T178 Therapeutic_procedure 4103 4119 jejunostomy tube E92 Therapeutic_procedure:T178 * OVERLAP E1 E2 E3 E4 R92 AFTER Arg1:E4 Arg2:E5 T179 Detailed_description 199 203 down R93 MODIFY Arg1:T179 Arg2:E5 R94 AFTER Arg1:E5 Arg2:E6 * OVERLAP E6 E7 E8 R95 BEFORE Arg1:E8 Arg2:E9 * OVERLAP E9 E10 E12 E11 R96 BEFORE Arg1:E11 Arg2:E13 T180 Detailed_description 481 485 down T181 Nonbiological_location 486 501 next to the bed R97 MODIFY Arg1:T180 Arg2:E13 R98 MODIFY Arg1:T181 Arg2:E13 * OVERLAP E13 E14 E15 E16 E17 R99 AFTER Arg1:E17 Arg2:E18 * OVERLAP E18 E19 R100 BEFORE Arg1:E19 Arg2:E22 * OVERLAP E22 E20 E21 R101 BEFORE Arg1:E21 Arg2:E25 * OVERLAP E25 E29 E30 E31 E36 E37 E32 E39 E38 E40 E33 E41 E42 E43 E44 E45 E46 E47 E48 E49 E50 E34 R102 MODIFY Arg1:T110 Arg2:E52 R103 AFTER Arg1:E34 Arg2:E51 * OVERLAP E51 E52 R104 BEFORE Arg1:E52 Arg2:E53 * OVERLAP E53 E54 E55 R105 BEFORE Arg1:E55 Arg2:E57 * OVERLAP E57 E56 R106 BEFORE Arg1:E56 Arg2:E58 * OVERLAP E58 E59 R107 BEFORE Arg1:E59 Arg2:E60 * OVERLAP E60 E61 E65 E66 E67 E69 E70 E71 E73 R108 AFTER Arg1:E73 Arg2:E74 R109 BEFORE Arg1:E74 Arg2:E75 * OVERLAP E75 E76 E77 E78 R110 BEFORE Arg1:E78 Arg2:E79 * OVERLAP E79 E80 E81 E82 E83 E84 R111 BEFORE Arg1:E84 Arg2:E85 * OVERLAP E85 E86 R112 BEFORE Arg1:E86 Arg2:E87 * OVERLAP E87 E88 E89 E90 E91 E92