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--- a
+++ b/datasets/labelled_data/VITALSTAT/all.conll
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+Patient O
+presents O
+with O
+glaucoma O
+, O
+characterized O
+by O
+a O
+definitive O
+diagnosis O
+of O
+pigmentary O
+glaucoma O
+. O
+Intraocular B-VITALSTAT
+pressure I-VITALSTAT
+measures O
+at O
+15 O
+mmHg O
+, O
+while O
+the O
+visual O
+field O
+remains O
+normal O
+. O
+Visual B-VITALSTAT
+acuity I-VITALSTAT
+is O
+recorded O
+as O
+20 O
+50 O
+. O
+The O
+patient O
+has O
+not O
+undergone O
+prior O
+cataract O
+surgery O
+, O
+but O
+has O
+had O
+LASIK O
+surgery O
+. O
+Additionally O
+, O
+comorbid O
+ocular O
+diseases O
+include O
+macular O
+degeneration O
+. O
+
+Patient O
+has O
+been O
+diagnosed O
+with O
+primary O
+open O
+angle O
+glaucoma O
+. O
+The O
+patient O
+'s O
+intraocular B-VITALSTAT
+pressure I-VITALSTAT
+is O
+a O
+concern O
+and O
+needs O
+monitoring O
+. O
+There O
+is O
+moderate O
+damage O
+observed O
+in O
+the O
+patient O
+'s O
+visual B-VITALSTAT
+field I-VITALSTAT
+. O
+The O
+visual B-VITALSTAT
+acuity I-VITALSTAT
+is O
+recorded O
+at O
+0 O
+. O
+3 O
+. O
+The O
+patient O
+has O
+not O
+undergone O
+prior O
+cataract O
+surgery O
+or O
+LASIK O
+surgery O
+. O
+The O
+presence O
+of O
+corneal O
+edema O
+, O
+along O
+with O
+glaucoma O
+, O
+suggests O
+comorbid O
+ocular O
+diseases O
+. O
+The O
+definitive O
+diagnosis O
+is O
+primary O
+open O
+angle O
+glaucoma O
+, O
+and O
+the O
+patient O
+'s O
+ocular O
+health O
+requires O
+close O
+attention O
+due O
+to O
+the O
+combination O
+of O
+factors O
+mentioned O
+. O
+
+The O
+patient O
+has O
+been O
+diagnosed O
+with O
+glaucoma O
+, O
+specifically O
+primary O
+open O
+angle O
+glaucoma O
+POAG O
+. O
+Their O
+intraocular B-VITALSTAT
+pressure I-VITALSTAT
+measures O
+at O
+48 O
+mmHg O
+, O
+indicating O
+elevated O
+pressure O
+within O
+the O
+eye O
+. O
+The O
+patient O
+exhibits O
+advanced O
+glaucomatous O
+field O
+damage O
+in O
+their O
+visual O
+field O
+, O
+and O
+their O
+visual B-VITALSTAT
+acuity I-VITALSTAT
+is O
+recorded O
+at O
+20 O
+150 O
+. O
+Notably O
+, O
+the O
+patient O
+has O
+undergone O
+prior O
+cataract O
+surgery O
+. O
+However O
+, O
+they O
+have O
+not O
+had O
+LASIK O
+surgery O
+. O
+In O
+addition O
+to O
+glaucoma O
+, O
+the O
+patient O
+also O
+presents O
+with O
+comorbid O
+ocular O
+diseases O
+, O
+including O
+diabetic O
+retinopathy O
+. O
+
+Patient O
+presents O
+with O
+uveitic O
+glaucoma O
+as O
+the O
+definitive O
+diagnosis O
+. O
+Intraocular B-VITALSTAT
+pressure I-VITALSTAT
+measures O
+at O
+28 O
+mmHg O
+. O
+Visual O
+field O
+assessment O
+indicates O
+early O
+field O
+damage O
+. O
+Visual B-VITALSTAT
+acuity I-VITALSTAT
+is O
+measured O
+at O
+20 O
+30 O
+. O
+No O
+prior O
+history O
+of O
+cataract O
+surgery O
+or O
+LASIK O
+surgery O
+. O
+Notably O
+, O
+patient O
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+presents O
+with O
+comorbid O
+ocular O
+disease O
+, O
+specifically O
+macular O
+edema O
+. O
+
+The O
+individual O
+, O
+aged O
+39 O
+, O
+has O
+been O
+definitively O
+diagnosed O
+with O
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+. O
+They O
+are O
+proficient O
+in O
+English O
+and O
+have O
+reported O
+experiencing O
+significant O
+anxiety O
+symptoms O
+. O
+Their O
+SSASI B-VITALSTAT
+score O
+is O
+6 O
+, O
+HAM B-VITALSTAT
+A I-VITALSTAT
+score O
+is O
+20 O
+, O
+PHQ B-VITALSTAT
+9 I-VITALSTAT
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+is O
+7 O
+, O
+and O
+HAM B-VITALSTAT
+D I-VITALSTAT
+score O
+is O
+23 O
+, O
+indicating O
+varying O
+levels O
+of O
+anxiety O
+and O
+depressive O
+symptoms O
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+also O
+expressed O
+experiencing O
+suicidal O
+ideation O
+. O
+There O
+is O
+no O
+history O
+of O
+dementia O
+. O
+Additional O
+assessment O
+using O
+the O
+GAD O
+7 O
+and O
+Beck O
+Depression O
+Inventory O
+is O
+ongoing O
+to O
+further O
+understand O
+their O
+condition O
+. O
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+The O
+patient O
+presents O
+with O
+neovascular O
+glaucoma O
+, O
+as O
+evidenced O
+by O
+an O
+intraocular B-VITALSTAT
+pressure I-VITALSTAT
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+22 O
+mmHg O
+. O
+Visual O
+field O
+assessment O
+indicates O
+normal O
+results O
+, O
+and O
+the O
+visual B-VITALSTAT
+acuity I-VITALSTAT
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+measured O
+at O
+0 O
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+2 O
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+The O
+patient O
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+undergone O
+prior O
+cataract O
+surgery O
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+has O
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+had O
+LASIK O
+surgery O
+. O
+There O
+is O
+no O
+information O
+available O
+about O
+comorbid O
+ocular O
+diseases O
+. O
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+The O
+patient O
+is O
+25 O
+years O
+old O
+and O
+proficient O
+in O
+English O
+and O
+Swedish O
+. O
+Several O
+anxiety O
+assessment O
+tools O
+have O
+been O
+used O
+to O
+evaluate O
+the O
+patient O
+'s O
+condition O
+. O
+The O
+SSASI B-VITALSTAT
+, O
+HAM B-VITALSTAT
+A I-VITALSTAT
+, O
+PHQ B-VITALSTAT
+9 I-VITALSTAT
+, O
+HAM B-VITALSTAT
+D I-VITALSTAT
+, O
+GAD B-VITALSTAT
+7 O
+, O
+and O
+Beck O
+Depression O
+Inventory O
+scores O
+indicate O
+varying O
+levels O
+of O
+anxiety O
+and O
+depression O
+. O
+The O
+patient O
+reports O
+experiencing O
+suicidal O
+ideation O
+. O
+There O
+is O
+no O
+indication O
+of O
+dementia O
+. O
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+The O
+patient O
+, O
+a O
+12 O
+year O
+old O
+individual O
+proficient O
+in O
+English O
+and O
+Spanish O
+, O
+is O
+experiencing O
+symptoms O
+of O
+anxiety O
+. O
+While O
+a O
+definitive O
+diagnosis O
+has O
+not O
+been O
+made O
+, O
+the O
+patient O
+'s O
+SSASI B-VITALSTAT
+score O
+is O
+12 O
+, O
+HAM B-VITALSTAT
+A I-VITALSTAT
+score O
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+25 O
+, O
+HAM B-VITALSTAT
+D I-VITALSTAT
+score O
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+14 O
+, O
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+there O
+are O
+no O
+indications O
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+suicidal O
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+dementia O
+. O
+The O
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+is O
+being O
+assessed O
+using O
+the O
+PHQ B-VITALSTAT
+9 I-VITALSTAT
+, O
+GAD B-VITALSTAT
+7 I-VITALSTAT
+, O
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+Beck O
+Depression O
+Inventory O
+scales O
+. O
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+The O
+individual O
+, O
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+adult O
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+and O
+Dutch O
+, O
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+received O
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+definitive O
+diagnosis O
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+anxiety O
+. O
+Assessments O
+reveal O
+elevated O
+scores O
+on O
+various O
+scales O
+, O
+including O
+HAM B-VITALSTAT
+A I-VITALSTAT
+18 O
+, O
+PHQ B-VITALSTAT
+9 I-VITALSTAT
+22 O
+, O
+HAM B-VITALSTAT
+D I-VITALSTAT
+24 O
+, O
+and O
+GAD B-VITALSTAT
+7 I-VITALSTAT
+12 O
+. O
+Suicidal O
+ideation O
+is O
+present O
+, O
+while O
+dementia O
+is O
+not O
+. O
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+The O
+individual O
+under O
+consideration O
+is O
+a O
+58 O
+year O
+old O
+person O
+proficient O
+in O
+English O
+and O
+Turkish O
+languages O
+. O
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+definitive O
+diagnosis O
+of O
+anxiety O
+has O
+been O
+established O
+. O
+Assessments O
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+indicated O
+a O
+SSASI B-VITALSTAT
+score O
+, O
+a O
+HAM B-VITALSTAT
+A I-VITALSTAT
+score O
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+HAM B-VITALSTAT
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+GAD B-VITALSTAT
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+9 O
+, O
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+an O
+8 O
+on O
+the O
+Beck B-VITALSTAT
+Depression I-VITALSTAT
+Inventory I-VITALSTAT
+. O
+No O
+presence O
+of O
+suicidal O
+ideation O
+has O
+been O
+observed O
+. O
+Additionally O
+, O
+the O
+individual O
+has O
+been O
+diagnosed O
+with O
+dementia O
+. O
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+The O
+patient O
+has O
+a O
+definitive O
+diagnosis O
+of O
+COPD O
+with O
+an O
+FEV1 B-VITALSTAT
+Forced B-VITALSTAT
+Expiratory I-VITALSTAT
+Volume I-VITALSTAT
+in I-VITALSTAT
+1 I-VITALSTAT
+second I-VITALSTAT
+of O
+85 O
+. O
+The O
+patient O
+is O
+classified O
+as O
+GOLD O
+stage O
+III O
+. O
+They O
+have O
+experienced O
+three O
+exacerbations O
+in O
+the O
+past O
+year O
+. O
+The O
+prescribed O
+COPD O
+treatments O
+include O
+bronchodilators O
+and O
+steroids O
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+The O
+patient O
+had O
+a O
+smoking O
+history O
+of O
+5 O
+cigarettes O
+per O
+day O
+until O
+quitting O
+two O
+years O
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+a O
+history O
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+interstitial O
+lung O
+disease O
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+a O
+lung O
+comorbidity O
+, O
+and O
+hypertension O
+as O
+another O
+comorbidity O
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+Patient O
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+Chronic O
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+FEV1 B-VITALSTAT
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+65 O
+, O
+indicating O
+impaired O
+lung O
+function O
+. O
+Over O
+the O
+past O
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+, O
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+their O
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+treatment O
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+EVB O
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+, O
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+a O
+daily O
+consumption O
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+2 O
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+of O
+cigarettes O
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+patient O
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+Patient O
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+Obstructive O
+Pulmonary O
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+FEV1 B-VITALSTAT
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+72 O
+, O
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+him O
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+stage O
+II O
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+, O
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+, O
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+does O
+have O
+a O
+history O
+of O
+glaucoma O
+as O
+an O
+additional O
+comorbidity O
+. O
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+The O
+individual O
+'s O
+definitive O
+diagnosis O
+indicates O
+COPD O
+. O
+Their O
+FEV1 B-VITALSTAT
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+stands O
+at O
+55 O
+, O
+categorizing O
+them O
+within O
+the O
+early O
+stage O
+of O
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+the O
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+now O
+, O
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+exacerbations O
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+Treatment O
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+not O
+yet O
+been O
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+. O
+Furthermore O
+, O
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+no O
+history O
+of O
+smoking O
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+Additionally O
+, O
+the O
+patient O
+does O
+not O
+have O
+any O
+reported O
+lung O
+comorbidities O
+or O
+other O
+comorbidities O
+. O
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+The O
+patient O
+, O
+diagnosed O
+with O
+breast O
+cancer O
+, O
+has O
+undergone O
+a O
+definitive O
+diagnosis O
+. O
+HER2 B-VITALSTAT
+status O
+is O
+positive O
+, O
+while O
+information O
+about O
+hormone O
+receptors O
+is O
+not O
+specified O
+. O
+The O
+patient O
+has O
+not O
+received O
+prior O
+chemotherapy O
+or O
+radiotherapy O
+. O
+No O
+prior O
+mastectomy O
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+performed O
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+patient O
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+performance O
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+ECOG O
+1 O
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+The O
+patient O
+'s O
+definitive O
+diagnosis O
+is O
+stage O
+III O
+breast O
+cancer O
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+HER2 B-VITALSTAT
+status O
+is O
+negative O
+, O
+while O
+hormone O
+receptor O
+status O
+is O
+ER O
+and O
+PR O
+. O
+The O
+patient O
+has O
+undergone O
+neoadjuvant O
+chemotherapy O
+and O
+prior O
+stereotactic O
+radiotherapy O
+. O
+A O
+prior O
+mastectomy O
+has O
+been O
+performed O
+. O
+Surgery O
+related O
+therapy O
+included O
+neoadjuvant O
+chemotherapy O
+. O
+The O
+patient O
+'s O
+performance O
+status O
+is O
+ECOG O
+2 O
+. O
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+The O
+patient O
+'s O
+breast O
+cancer O
+is O
+at O
+stage O
+2 O
+. O
+The O
+HER2 B-VITALSTAT
+status O
+is O
+positive O
+, O
+while O
+hormone O
+receptors O
+PR O
+and O
+ER O
+are O
+negative O
+. O
+The O
+patient O
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+t O
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+received O
+prior O
+radiotherapy O
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+. O
+The O
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+status O
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+Karnofsky O
+70 O
+. O
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+
+The O
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+diagnosis O
+of O
+breast O
+cancer O
+. O
+Key O
+details O
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+negative O
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+hormone O
+receptor O
+information O
+. O
+The O
+patient O
+has O
+not O
+undergone O
+prior O
+chemotherapy O
+, O
+radiotherapy O
+, O
+or O
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+Their O
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+status O
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+ECOG O
+1 O
+. O
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+The O
+patient O
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+diagnosis O
+is O
+confirmed O
+through O
+PCR O
+testing O
+. O
+They O
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+shown O
+symptoms O
+such O
+as O
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+, O
+muscle O
+pain O
+, O
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+shortness O
+of O
+breath O
+. O
+The O
+patient O
+was O
+hospitalized O
+for O
+5 O
+days O
+, O
+with O
+2 O
+of O
+those O
+days O
+requiring O
+ventilation O
+. O
+Their O
+vaccination O
+status O
+indicates O
+they O
+have O
+received O
+1 O
+shot O
+of O
+an O
+mRNA O
+vaccine O
+. O
+The O
+patient O
+'s O
+oxygen B-VITALSTAT
+saturation I-VITALSTAT
+level O
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+95 O
+. O
+They O
+have O
+a O
+history O
+of O
+asthma O
+, O
+a O
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+respiratory O
+disease O
+. O
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+The O
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+COVID O
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+The O
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+diagnosis O
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+confirmed O
+through O
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+testing O
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+patient O
+exhibited O
+symptoms O
+including O
+fever O
+, O
+headache O
+, O
+and O
+body O
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+started O
+on O
+coumadin O
+. O
+Her O
+HCT B-VITALSTAT
+dropped O
+slightly O
+, O
+requiring O
+blood O
+transfusion O
+, O
+with O
+guaic O
+positive O
+stools O
+. O
+She O
+was O
+discharged O
+and O
+returned O
+with O
+abdominal O
+cramping O
+and O
+black O
+stools O
+. O
+EGD O
+showed O
+a O
+small O
+gastric O
+and O
+duodenal O
+ulcer O
+healing O
+, O
+esophageal O
+stricture O
+, O
+no O
+active O
+bleeding O
+. O
+She O
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+had O
+an O
+abdominal O
+CT O
+demonstrating O
+a O
+distended O
+gallbladder O
+with O
+gallstones O
+and O
+biliary O
+obstruction O
+with O
+several O
+CBD O
+stones O
+. O
+
+This O
+is O
+a O
+41 O
+year O
+old O
+male O
+patient O
+with O
+medical O
+history O
+of O
+alcohol O
+abuse O
+, O
+cholelithiasis O
+, O
+hypertension O
+, O
+obesity O
+who O
+presented O
+to O
+his O
+local O
+hospital O
+with O
+hematemasis O
+. O
+On O
+Friday O
+evening O
+he O
+had O
+several O
+episodes O
+of O
+vomiting O
+of O
+bright O
+and O
+dark O
+red O
+material O
+. O
+In O
+the O
+emergency O
+department O
+, O
+initial O
+vs O
+were O
+T B-VITALSTAT
+98 O
+. O
+6 O
+P66 B-VITALSTAT
+BP145 O
+89 O
+R16 O
+O2 O
+sat O
+98 O
+RA O
+. O
+He O
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+started O
+on O
+a O
+protonix O
+gtt O
+and O
+octreotide O
+gtt O
+given O
+his O
+elevated O
+liver O
+function O
+tests O
+. O
+Lab O
+tests O
+show O
+elevated O
+lipase O
+, O
+pancytopenia O
+and O
+coagulopathy O
+. O
+He O
+had O
+a O
+right O
+upper O
+abdominal O
+quadrant O
+ultrasound O
+which O
+demonstrated O
+gallstones O
+and O
+sludge O
+and O
+ascites O
+. O
+As O
+such O
+given O
+new O
+ascites O
+and O
+abdominal O
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+was O
+given O
+levofloxacin O
+750mg O
+IV O
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+flagyl O
+500mg O
+IV O
+reportedly O
+for O
+spontaneous O
+bacterial O
+peritonitis O
+prophylaxis O
+. O
+On O
+the O
+floor O
+, O
+he O
+reports O
+that O
+he O
+had O
+two O
+episodes O
+of O
+vomiting O
+of O
+dark O
+red O
+emesis O
+. O
+Per O
+his O
+nurse O
+it O
+was O
+about O
+75ml O
+and O
+was O
+gastrocult O
+positive O
+. O
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+upper O
+abdominal O
+quadrant O
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+radiating O
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+his O
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+slow O
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+in O
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+swelling O
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+to O
+admission O
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+patient O
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+fever O
+, O
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+, O
+night O
+sweats O
+, O
+headache O
+, O
+sinus O
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+, O
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+. O
+Denied O
+cough O
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+shortness O
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+chest O
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+or O
+tightness O
+. O
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+A O
+G2P0010 O
+26 O
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+now O
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+to O
+10 O
+weeks O
+pregnant O
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+with O
+4yr O
+hx O
+of O
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+menstrual O
+period O
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+not O
+known O
+but O
+was O
+sometime O
+three O
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+. O
+Five O
+days O
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+patient O
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+feeling O
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+congested O
+. O
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+received O
+a O
+flu O
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+poorly O
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+the O
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+, O
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+given O
+IVF O
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+. O
+Of O
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+labwork O
+demonstrates O
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+blood B-VITALSTAT
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+of O
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+that O
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+breathing O
+rapidly O
+and O
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+quite O
+somnolent O
+. O
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+in O
+respiratory O
+distress O
+. O
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+This O
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+a O
+24 O
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+2 O
+7 O
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+678 O
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+, O
+born O
+to O
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+year O
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+G2 O
+, O
+P0 O
+to O
+3 O
+woman O
+. O
+Prenatal O
+screens O
+were O
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+positive O
+, O
+antibody O
+negative O
+, O
+hepatitis O
+B O
+surface O
+antigen O
+negative O
+, O
+RPR O
+nonreactive O
+, O
+rubella O
+immune O
+, O
+and O
+GBS O
+unknown O
+. O
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+pregnancy O
+, O
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+. O
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+mother O
+presented O
+to O
+the O
+Hospital O
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+the O
+morning O
+of O
+delivery O
+with O
+premature O
+rupture O
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+. O
+Betamethasone O
+was O
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+approximately O
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+hours O
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+to O
+delivery O
+. O
+The O
+mother O
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+started O
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+ampicillin O
+, O
+gentamycin O
+, O
+and O
+magnesium O
+sulfate O
+. O
+Mother O
+'s O
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+despite O
+magnesium O
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+she O
+developed O
+fever O
+and O
+chills O
+. O
+Maximum O
+temperature B-VITALSTAT
+was O
+101 O
+. O
+2 O
+degrees O
+. O
+Because O
+of O
+progressive O
+labor O
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+concerns O
+for O
+chorioamnionitis O
+, O
+the O
+decision O
+was O
+made O
+to O
+deliver O
+the O
+infants O
+. O
+Delivery O
+was O
+by O
+cesarean O
+section O
+. O
+The O
+infant O
+was O
+intubated O
+in O
+the O
+Delivery O
+Room O
+and O
+Apgars O
+were O
+5 O
+at O
+one O
+and O
+8 O
+at O
+five O
+minutes O
+. O
+Examination O
+was O
+notable O
+for O
+an O
+extreme O
+pre O
+term O
+infant O
+, O
+intubated O
+. O
+Weight O
+was O
+678 O
+gm O
+. O
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+x O
+ray O
+shows O
+respiratory O
+immaturity O
+and O
+diffuse O
+bilateral O
+opacities O
+within O
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+lungs O
+, O
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+than O
+right O
+, O
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+increased O
+lung O
+volumes O
+. O
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+A O
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+o O
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+sarcoidosis O
+, O
+COPD O
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+cardiomyopathy O
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+dysfunction O
+, O
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+confusion O
+. O
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+brought O
+to O
+the O
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+husband O
+for O
+evaluation O
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+. O
+While O
+in O
+the O
+waiting O
+room O
+the O
+pt O
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+97 O
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+115 O
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+80 O
+, O
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+18 O
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+98 O
+2L O
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+protect O
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+airway O
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+intubated O
+. O
+She O
+vomited O
+x1 O
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+1 O
+. O
+5 O
+L O
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+. O
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+5 O
+. O
+5 O
+, O
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+46 O
+, O
+Cr B-VITALSTAT
+2 O
+. O
+2 O
+up O
+from O
+baseline O
+of O
+0 O
+. O
+8 O
+, O
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+280 O
+. O
+Stool O
+was O
+Guaiac O
+negative O
+. O
+A O
+urinalysis O
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+CXR O
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+, O
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+but O
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+intraperitoneal O
+fluid O
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+
+
+
+A O
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+chronic O
+obstructive O
+pulmonary O
+disease O
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+presented O
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+an O
+outside O
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+several O
+weeks O
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+pain O
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+pain O
+medications O
+. O
+Subsequently O
+developed O
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+be O
+zoster O
+. O
+In O
+the O
+last O
+few O
+days O
+, O
+oxygen O
+requirement O
+increased O
+and O
+she O
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+cough O
+, O
+fevers O
+and O
+sore O
+throat O
+. O
+Noted O
+oxygen B-VITALSTAT
+saturation I-VITALSTAT
+of O
+79 O
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+ambulation O
+at O
+home O
+. O
+At O
+outside O
+hospital O
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+was O
+diagnosed O
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+" O
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+focal O
+pneumonia O
+. O
+" O
+In O
+the O
+process O
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+obtaining O
+a O
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+scan O
+, O
+contrast O
+infiltrated O
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+. O
+She O
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+treated O
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+ceftriaxone O
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+transferred O
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+hospital O
+. O
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+A O
+67 O
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+. O
+o O
+. O
+M O
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+end O
+stage O
+COPD O
+on O
+home O
+oxygen O
+, O
+tracheobronchomalacia O
+s O
+p O
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+stent O
+, O
+h O
+o O
+RUL O
+resection O
+for O
+squamous O
+cell O
+carcinoma O
+with O
+Cyberknife O
+treatment O
+. O
+Patient O
+had O
+Y O
+stent O
+placed O
+complicated O
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+cough O
+and O
+copious O
+secretions O
+requiring O
+multiple O
+therapeutic O
+aspirations O
+. O
+Last O
+bronchoscopy O
+was O
+at O
+OSH O
+, O
+where O
+patient O
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+copious O
+secretions O
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+were O
+aspirated O
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+reports O
+compliance O
+with O
+Mucomyst O
+nebs O
+and O
+Mucinex O
+. O
+Patient O
+reports O
+decreaed O
+appetitie O
+, O
+50 O
+lb O
+wt O
+loss O
+in O
+6 O
+months O
+. O
+Decreased O
+activity O
+tolerance O
+. O
+Smokes O
+5 O
+cig O
+day O
+. O
+PET O
+scan O
+revealed O
+FDG O
+avid O
+soft O
+tissue O
+mass O
+adjacent O
+to O
+lung O
+resection O
+site O
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+some O
+FDG O
+avid O
+nodes O
+concerning O
+for O
+recurrence O
+. O
+On O
+arrival O
+, O
+vitals O
+were O
+T98 B-VITALSTAT
+. O
+6 O
+HR86 O
+BP106 O
+78 O
+O289 O
+. O
+Pt O
+denied O
+chest O
+pain O
+, O
+palpitations O
+, O
+trauma O
+, O
+F O
+C O
+, O
+N O
+V O
+D O
+. O
+Pt O
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+worsening O
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+. O
+
+
+
+
+
+A O
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+resident O
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+chronic O
+atrial O
+fibrillation O
+, O
+hypertension O
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+hypothyroidism O
+who O
+presents O
+wit O
+abdominal O
+pain O
+. O
+She O
+had O
+been O
+in O
+her O
+usual O
+state O
+of O
+health O
+until O
+5 O
+days O
+ago O
+when O
+she O
+suddenly O
+began O
+to O
+have O
+abdominal O
+pain O
+. O
+Her O
+abdominal O
+pain O
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+initially O
+intermittent O
+lasting O
+for O
+a O
+few O
+hours O
+at O
+at O
+time O
+. O
+No O
+clear O
+correlation O
+with O
+food O
+. O
+Yesterday O
+, O
+she O
+noticed O
+that O
+her O
+pain O
+was O
+much O
+more O
+severe O
+and O
+more O
+localized O
+to O
+the O
+right O
+. O
+This O
+was O
+accompanied O
+by O
+nausea O
+and O
+vomitting O
+. O
+She O
+vomitted O
+twice O
+, O
+with O
+clear O
+liquid O
+emesis O
+and O
+was O
+sent O
+to O
+a O
+hospital O
+. O
+At O
+the O
+hospital O
+, O
+she O
+was O
+noted O
+to O
+have O
+elevated O
+amylase O
+lipase O
+to O
+538 O
+and O
+516 O
+with O
+elevated O
+bili O
+to O
+4 O
+. O
+1 O
+and O
+AST O
+ALT O
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+198 O
+115 O
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+was O
+given O
+ciprofloxacin O
+, O
+flagyl O
+and O
+500cc O
+NS O
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+transferred O
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+emergency O
+department O
+. O
+At O
+the O
+emergency O
+department O
+her O
+vital O
+signs O
+were O
+TM B-VITALSTAT
+97 O
+. O
+9 O
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+83 O
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+157 O
+92 O
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+18 O
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+97 O
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+. O
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+94M O
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+CAD O
+s O
+p O
+4v O
+CABG O
+, O
+CHF O
+, O
+CRI O
+presented O
+with O
+vfib O
+arrest O
+. O
+Initial O
+labs O
+significant O
+for O
+K B-VITALSTAT
+2 O
+. O
+7 O
+. O
+EKG O
+showed O
+sinus O
+rhythm O
+, O
+HR B-VITALSTAT
+80 O
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+LAD O
+, O
+prolonged O
+PR O
+, O
+TD B-VITALSTAT
+0 O
+. O
+5 O
+to O
+1mm O
+in O
+V4 O
+V6 O
+. O
+Echo O
+showed O
+Mildly O
+depressed O
+global O
+left O
+ventricular O
+function O
+, O
+mild O
+to O
+moderate O
+aortic O
+regurgitation O
+and O
+mild O
+mitral O
+regurgitation O
+. O
+
+
+85M O
+dementia O
+, O
+colon O
+cancer O
+and O
+recent O
+colectomy O
+with O
+primary O
+reanastomosis O
+p O
+w O
+melena O
+. O
+HCT B-VITALSTAT
+30 O
+to O
+23 O
+but O
+hemodynamically O
+stable O
+. O
+NGL O
+negative O
+. O
+Exam O
+notable O
+for O
+Tm B-VITALSTAT
+99 O
+BP B-VITALSTAT
+128 O
+50 O
+HR B-VITALSTAT
+70 O
+RR B-VITALSTAT
+16 O
+with O
+sat B-VITALSTAT
+100 O
+on O
+RA O
+. O
+WD O
+man O
+, O
+NAD O
+. O
+Chest O
+clear O
+, O
+JVP O
+8cm O
+. O
+RR O
+s1s2 O
+. O
+Soft O
+abdomen O
+, O
+well O
+healed O
+surgical O
+scar O
+. O
+No O
+edema O
+or O
+cord O
+. O
+Labs O
+notable O
+for O
+WBC B-VITALSTAT
+7K O
+, O
+HCT B-VITALSTAT
+24 O
+, O
+K B-VITALSTAT
+4 O
+. O
+0 O
+, O
+Cr O
+0 O
+. O
+7 O
+. O
+
+51 O
+year O
+old O
+man O
+with O
+multiple O
+sclerosis O
+, O
+quadriparesis O
+, O
+hypertension O
+, O
+restrictive O
+lung O
+disease O
+, O
+chronic O
+constipation O
+and O
+small O
+bowel O
+obstruction O
+after O
+ileostomy O
+, O
+multiple O
+urinary O
+tract O
+infections O
+also O
+after O
+placement O
+of O
+suprapubic O
+tube O
+, O
+presents O
+with O
+small O
+bowel O
+obstruction O
+and O
+urinary O
+tract O
+infection O
+. O
+Admitted O
+today O
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+C O
+99 O
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+99 O
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+constipation O
+, O
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+regarding O
+how O
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+go O
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+the O
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+An O
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+40 O
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+20 O
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+Eyes O
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+PERRL O
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+, O
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+Cardiovascular O
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+Normal O
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+Peripheral O
+Vascular O
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+radial O
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+radial O
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+Present O
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+Chest O
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+Crackles O
+RLL O
+, O
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+Attentive O
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+tube O
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+body O
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+cava O
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+mass O
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+The O
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+protect O
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+airway O
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+x1 O
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+K O
+5 O
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+5 O
+, O
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+46 O
+, O
+Cr O
+2 O
+. O
+2 O
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+baseline O
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+0 O
+. O
+8 O
+, O
+and O
+ammonia O
+of O
+280 O
+. O
+Stool O
+was O
+Guaiac O
+negative O
+. O
+A O
+urinalysis O
+and O
+CXR O
+were O
+done O
+and O
+are O
+pending O
+, O
+and O
+a O
+FAST O
+revealed O
+hepatosplenomegaly O
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+no O
+intraperitoneal O
+fluid O
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+On O
+arrival O
+to O
+the O
+ICU O
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+pt O
+had O
+another O
+episode O
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+emesis O
+. O
+NGT O
+was O
+placed O
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+suction O
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+1 O
+. O
+5L O
+bilious O
+material O
+was O
+drained O
+. O
+Allergies O
+Cipro O
+Oral O
+Ciprofloxacin O
+Hcl O
+Hives O
+; O
+Doxycycline O
+Hives O
+; O
+hallucin O
+Paxil O
+Oral O
+Paroxetine O
+Hcl O
+hair O
+loss O
+; O
+Quinine O
+Rash O
+; O
+Compazine O
+Injection O
+Prochlorperazine O
+Edisylate O
+muscle O
+spasm O
+; O
+Levaquin O
+Oral O
+Levofloxacin O
+tendinitis O
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+A O
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+ultrasound O
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+BMI O
+27 O
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+
+
+
+
+
+
+The O
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+The O
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+1 O
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+45 O
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+Alkaline O
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+531 O
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+dL O
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