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In ED for abdominal pain localized in LUOGO mesogastric area for about 3 days, non-radiating, stabbing, intermittent. Denies fever. Denies nausea/vomiting. Denies diarrhea, bowel habits regular (normochromic, normally formed stools). Reports hyporexia over the last 2 days. Denies weight loss. Reports mild dysuria for a...
903116
TRIAGE: for one week, fever, productive cough, and influenza-like symptoms. At pre-triage T 38.2°C; has not taken antipyretic. This morning accidental fall as he reports slipping while sitting down on the stool. Denies head trauma, denies other complaints and symptoms. VACCINATED 4 DOSES MEDICAL EVALUATION: Influenza...
1036203
Patient recently discharged from our ED on 14/11 with diagnosis of portosystemic encephalopathy. Hb 10. Since then, persistent psychomotor slowing, worsened this evening with onset of agitation, for which the patient took Zolpidem 1/2 tab. Also reports LOC with head trauma occurring while going to the bathroom tonight ...
256860
Recently seen in ED from 1/3 to 2/3/23 for "ED visit for presyncope with consequent sliding of the knees on the floor, today. Denies head trauma". PMH: - Appendectomy - Left TKA - Eye surgery not otherwise specified, visually impaired - Chronic AF - Dyslipidemia - COVID-19 infection May 2022 - Right saphenectomy COVID-...
1195646
Fell from approximately 2.5 meters. Brought by MSB without immobilization devices. Reports attempted entry into his own home through the window at LUOGO no. 3, first floor, with consequent fall and trauma to the lower limbs and head. Denies thoracoabdominal trauma. Found on the landing of his home; he reported a fall...
1804841
Accompanied by MSB. In ED for dyspnea and difficulty ambulating for about 15 days. Asthenia. No melena. Hyporexia and hypoalimentation. No fever. Cough without sputum. No pain. lives with the PARENTE cognitively intact Still active - until 15 days ago ambulation in outdoor spaces still possible - for the past 15 days...
869076
In ED for onset after lunch of an episode of dizziness, visual blurring, sensation of heat with subsequent presyncope (unclear LOC), while seated. Denies trauma, in particular no head trauma. Placed supine by the PARENTE and by the PARENTE with rapid recovery. Reports palpitations after the syncope and mild sensation o...
715369
Presents to ED for presyncopal sensation and an episode of vertigo while with a PARENTE. Recent family bereavement; low mood in recent days. Denies NOME_PERSONA, dyspnea, or palpitations. PMH: - Hypertensive heart disease - COPD GOLD III on LTOT since 2015. Last exacerbation 02/2020 - 2009 TURBT for bladder Ca - Febru...
854887
Patient in ED sent by the treating cardiologist Dr. NOME_PERSONA; unclear reason. Possible lower limb ischemia. Patient denies chest pain, denies dyspnea, denies fever. Adequate diuresis. Reports 15 intervento Molinette for ambulazione peen, referred for calcifilassi. Allergy to Zimox, intolerance to acarbose. apr Ar...
120579
Referred to the ED by the Ophthalmic Hospital. On 17/4 episode of loss of consciousness occurred while the patient was going to the bathroom. Preceded by dizziness and general malaise. Prior episodes of vasovagal syncope; the episode on 17/4 per the patient is similar to previous ones. No chest pain, dyspnea, or other ...
52473
Presents from Community LUOGO for fever and dyspnea HPI: 02/2023 hospitalization in MIC for febrile respiratory failure PMH: - Intellectual disability. Post-meningitic epileptic encephalopathy with severe intellectual disability. - Dysphagia. Prior aspiration pneumonia. Pureed diet and gelled water. - Resident at Com...
1402178
Presents to ED for a presyncopal episode at home during micturition, preceded by a sensation of dyspnea. Upon exiting the bathroom, new syncopal episode in front of PARENTE who partially supported him. PARENTE reports head trauma. Denies angina. PMH: - from 16/12/22 to 30/12/22 CCU admission for NSTEMI (angioplasty pe...
1291971
In ED for onset about 1 week ago of nasal epistaxis, episodes of hemoptysis (coughing and saliva with blood-stained sputum), and hematuria (dark red urine). No fever. Occasional episodes of dyspnea not clearly characterized. Significant weight loss (from 63 to 45 kg in 1 year). PMH: Type 2 DM Hypertension Lower-limb a...
766326
Presents with left-sided migraine-type headache and left ear pain PMH 4/18 valvuloplasty; AF on DOAC; iron-deficiency anemia - 5-2-21 In ED for episode of asthenia and dysarthria in regression in ED - head CT negative for acute findings. - Most recent echocardiogram: Left ventricle of normal size and motion with con...
751803
Referred to ED by PCP for suspected heart failure decompensation and pneumonia. On EMS arrival, NRB mask applied for desaturation (SpO2 85%). History-taking difficult from the patient. Reports cough for about one week. Fever (T up to 38–39). Also diarrhea. From telephone conversation with PARENTE it appears: for about...
53833
In ED together with PARENTE. Today at lunch she ate cooked carrots and abundant fruit (peach, apricots, plums) with subsequent onset around 14:00 of diffuse colicky abdominal pain, more in the right quadrants. No nausea/vomiting, had a bowel movement this morning with soft stools (reports constipation in recent days fo...
1388062
Presents to the ED for cough associated with hemoptysis since Monday 13/2, no fever. Presence of white sputum with traces of blood. No other symptoms. PMH: from chart - lives with PARENTE - cognitively intact, non-ambulatory, only bed-to-chair transfers, does not leave the house, not independent in ADL/IADL - obese (w...
1312370
For about one week, malaise and onset of fever on Monday with a peak of 38.7 °C, spontaneously regressed after about one hour. New episode today with similar presentation. Reports cough for about 10 days for which took an unspecified antibiotic and corticosteroid. Reports mild dysuria. Denies chest pain. Also reports f...
1270088
ED presentation for palpitations onset today at 9:00 AM. No chest pain, no dyspnea. No prior similar episodes. Last meal at 9:00 AM today. PMH - Hypertension - CKD likely predominantly chronic obstructive, due to bilateral vesicoureteral reflux, greater on the right ** 2000 Initiation of peritoneal dialysis ** 2001 pe...
1648479
In ED for progressively worsening dyspnea, worsened over the last 2 days, with marked orthopnea and exertional dyspnea. Occasional episodes of exertional chest pain. No fever, no cough, no diarrhea, no anosmia or dysgeusia, no known contacts with SARS-CoV2-positive individuals. Has undergone cardiology workup at anothe...
11911
In ED for epigastric–retrosternal pain for two days, since last night radiating to the entire back, continuous, partially regressed with paracetamol No cough, no fever, mild dyspnea reported as baseline Bowel movements regular with normal stool this morning, no vomiting PMH - Morbid obesity - Smoking, dyslipidemia - P...
1829184
Since this morning, onset of diffuse dorsolumbar pain radiating anteriorly to the epigastric/mesogastric region and to the chest, associated with nonspecific malaise. Denies dyspnea/chest pain/cold diaphoresis. Reports well-being in the preceding days, no fever. The PARENTE reports prior similar episodes. Denies recent...
1009974
In ED for a transient episode of expressive aphasia lasting about 10 minutes in the presence of PARENTE, with subsequent spontaneous remission. In addition, the patient reports nausea and vomiting for about 2 days and pressure-like chest pain that the patient reports as entirely similar to previous episodes (history of...
389015
Sent to the ED because the PARENTE reports finding him more confused than usual. On questioning, difficult to obtain history; he first reports cramps in the lower limbs, then dyspnea, then asthenia. PMH: - CAD with multiple angioplasties, including for in-stent restenosis (last 12/2018). Multiple hospital admissions f...
1065330
In ED for acutely worsened respiratory distress. until yesterday relatively better - still ambulated yesterday Reports acute worsening of respiratory status overnight. No fever, no cough, no sputum. No chest pain, no abdominal pain. Patient with ED visit on 22/2/2022 for palpitations for > 48 hours Diagnosis of newly ...
589001
In ED for progressively worsening dyspnea since yesterday. Reports an episode of dyspnea last night while lying in bed, which resolved after assuming the sitting position within approximately 15 minutes. Subsequently reports lying down again and resting. No fever. No cough. No GI symptoms. No alterations in taste or sm...
437559
In ED for glycemic decompensation. History not obtainable directly from the patient. Yesterday 24/9 ED visit at GB for glycemic decompensation for a few days in the context of recent therapy change + fever. On PE: dehydration, afebrile. SARS-CoV-2 antigen test NEGATIVE. On ABG (arterial): Na 163 - other electrolytes w...
442220
The patient reports onset of retrosternal and epigastric pain radiating posteriorly, which began around 15:00 while she was seated on the bus returning from work. She describes the pain as burning, initially intermittent and subsequently becoming continuous, exacerbated by movement and deep inspiration. Denies dyspnea,...
1546913
In ED for an episode of loss of consciousness with prodromal symptoms. This morning: mild asthenia with nausea and headache. Last night took paracetamol for chronic general malaise (myalgia and bone pain). No fever. Ate a light breakfast. At work, while standing, mild malaise - while seated in the dining room, loss of ...
867924
sent from the port for respiratory distress, fever in known SARS-CoV-2 infection (known since 29/12) patient arrived without accompanying therapy sheet ATTACHED PMH from previous ED visit 6/2020 hospitalization for hypokinetic cardiomyopathy newly found in AF of undeterminable onset + right basal consolidation treated...
941734
In ED for pain at the cervico-thoraco-lumbar spine for about 3 weeks, associated with burning pain starting from the 4th and 5th fingers of both hands and radiating toward the shoulders. Reports cervical spine MRI performed on 4/8 for this reason, showing multiple disc protrusions from C2 to C6. Betamethasone + diclofe...
522236
For two months episodes of oppressive chest sensation and presyncopal sensation, never LOC, for which ordered by PCP: - 18/01/23 Cardiac Doppler echocardiography: LV not dilated, mildly hypertrophic with preserved EF; right chambers not dilated; intact interatrial septum; tricuspid valve with mild 2+ regurgitation and ...
1303331
For several days influenza-like symptoms with cough and myalgias. Also abdominal pain related to long-standing constipation. PMH: - former smoker (stopped six months ago) - centrilobular emphysema, mild interstitial lung disease, 2/2019 hospitalization at Cottolengo for respiratory failure - apical hypertrophic cardio...
644419
Reports persistent dyspnea since the recent discharge from the ED, denies angina Visit with primary care physician scheduled for tomorrow HPI Last ED visit on 16.8 for initial heart failure Advised increase of Dilzene from 1/2 tab x 2 to 1 tab x 2 and Lasix 2 + 1 PMH - ED visit on 18/6/2022 for fever and productive c...
1123345
In ED for fever since Sunday evening - 48 hours. Max T 38.7°C without chills. No cough, no new-onset sputum, no chest pain, no abdominal pain, bowel habits reported as normal with three bowel movements today and two yesterday. Presence of skin eruptions on upper limbs and trunk and lower limbs - for two days - has not ...
782146
This morning, while standing (the PARENTE was changing her pyelostomy bag), onset of general malaise, blurred vision, nausea, and sweating, followed by LOC. No trauma, as she was supported by the PARENTE. Rapid recovery of consciousness; thereafter alert, oriented, and cooperative; she immediately recognized the surrou...
1028946
Presents to the ED on 04/05 for fever since 28/04 (max 38.8°C) associated with diffuse chest pain radiating to the back, shoulders, interscapular area, continuous, lasting about 2 days, not exertional, regressed with antibiotics and acetaminophen. Denies cough or dyspnea. Denies urinary symptoms. Denies GI symptoms. De...
557234
Brought to ED by MSA for generalized seizure witnessed by bystanders who supported the patient; seizure still ongoing on EMS arrival. No trauma. Midazolam 5 mg intranasal administered with benefit. Subsequent postictal state with snoring respirations and desaturation. The PARENTE denies fever and cough in recent days; ...
254019
Patient sent to the ED from the community due to blood noted in the diaper. ALLERGIES: grasses; no known drug allergies PMH: - Patient residing in LUOGO for severe intellectual disability and behavioral disorder (followed by Dr. NOME_PERSONA--> NUM_TELEFONO) - Tuberous sclerosis, followed by CMID OSGB (Dr. NOME_PERSO...
521978
Pt. escaped from LUOGO at 15:00 to go to PARENTE, who alerted 112 to bring him back to the hospital. Transported to LUOGO due to proximity. Similar episode on 5/02 (this year), brought back to LUOGO. PMH (from chart) - Hypertension - Type 2 diabetes mellitus - Severe obesity (height 180 cm, weight 120 kg) - CKD (creat...
1133867
Note written retrospectively to provide care to the patient. The patient reports living alone, assisted by PARENTE. Reports about 10 days of nausea and food vomiting (approx. 3–4 episodes per day) with inability to eat and hydrate. Unable to report whether fever at home; reports bowel habits tending to constipation (la...
1528915
Complains of dyspnea for approximately 4 days, worsened by the supine position, also present at rest. Known lung cancer since 10/2019 with pericardial effusion (unclear localization of disease). Last echocardiogram 10/2020 (next scheduled for 2/7/21). At the echocardiogram in 6/2020 effusion of approximately 20 mm (muc...
217148
In ED for dyspnea for a few days with fever. Reported body temperature up to 39°C last night. Lumbar and dorsal pain, no frank chest or abdominal pain. No cough, no sputum, no focal symptoms reported. Cognitively intact. Reported independent in ADLs and IADLs. Reported undergoing chemotherapy; last in June 2022. SpO2...
775844
In ED for abdominal pain localized to the upper quadrants for about 2 days. No nausea/vomiting/diarrhea. Last bowel movement yesterday (normally colored stools). No fever. No respiratory symptoms. No chest pain. No frank urinary symptoms. History obtained with the help of PARENTE; the patient does not exactly remember ...
1204685
Sent from dialysis clinic for workup of abdominal pain since last night. Today blood cultures performed; ABG with respiratory alkalosis; fever; increased lipase. See documentation held by the patient. PMH Admission on 29-7-22 to Nephrology for acute acalculous pancreatitis; VRE bacteremia. Treated with Tazocin and the...
1094186
HPI: Presents to the ED for onset of dyspnea and a sensation of heaviness in the retrosternal area radiating to the jugulum. No fever, diarrhea, anosmia, ageusia. No change in the habitual cough in an active smoker. Last cycle of chemotherapy performed on 04/19 (current year). PMH: - Heavy active smoker. Lives with P...
52783
In ED for chest pain and finding of LBBB on ECG. The patient reports last night at 04:00 onset at rest of substernal chest pain radiating posteriorly, oppressive in nature, lasting approximately 40 min; during the pain she reports having gone to the bathroom; while seated, onset of visual blurring and LOC; upon regaini...
878005
HPI: Since dinner time, sudden onset of shortness of breath; left hemithorax pain at the level of the 5th/6th intercostal space, stabbing in nature, partially exacerbated by palpation, lasting approximately 5–6 min; and pain and a sensation of numbness in the left upper limb. Denies nausea, diaphoresis and/or palpitati...
7660
ED presentation for fever for 5 days, associated with productive cough and dyspnea. Rocefin IM started from 28/8. PMH - Hypertension - HBV; HCV negative - CAD with repeated PCI - Peripheral arterial disease of the lower extremities, multiply treated: multiple revascularization procedures of LLE and RLE - 04/2020 aneur...
1776696
In the ED for cough for 2 days; since today also dyspnea and oppressive chest pain. PMH: - Active smoker. - Ischemic-hypertensive heart disease status post revascularization. Known LBBB. °°°(2013) PCI + stent to mid LAD in 2013. °°°(2021) Echocardiogram: EF 45% with apical septal dyskinesia, MR +. °°°(03/2021) Outpati...
984975
Presents for dyspnea for about one week, no frank orthopnea or PND, reports marked weight gain (8 kg). Also facial edema, rubor. Never angina or palpitations. Active smoker Also reports about 14 days ago switch from Paroxetine to Venlafaxine 75 mg, then discontinued about one week ago due to onset of edema, rubor, dys...
1532363
In ED for worsening of gross hematuria over the last month. Outpatient urologic visit performed and unsuccessful attempt at cystoscopy (not completed). No fever. No strangury/urinary frequency/urinary urgency. In the last week nonproductive cough, no dyspnea. Ciprofloxacin prescribed yesterday by PCP. No GI symptoms. ...
1575341
ED visit for dyspnea since yesterday. Denies chest pain. Reports low-grade fever and mild productive cough for 3–4 days. Vaccination against LUOGO, 2nd dose in September 2021 PMH: - Awaiting TURBT for bladder cancer (surgery scheduled 11/2/22). - April 2021. Subacute anterior STEMI. On emergent coronary angiography a...
710055
Presents to the ED for high fever preceded by shaking chills for two days, associated with cough Vaccinated with 4 doses for SARS-CoV-2 PMH - iron-deficiency anemia - Type 2 diabetes mellitus - Dyslipidemia - CAD: * in 2013 NSTEMI; on coronary angiography three-vessel coronary artery disease (LAD / OM / RCA) treated i...
1741529
TRIAGE: Accompanied by MSA for transient LOC with spontaneous recovery. Event preceded by blurred vision and dizziness. ECG performed by MSA negative. Denies chest pain, denies headache. At triage reports only asthenia and burning sensation. Alert, conscious, and oriented to time and space. Hearing loss ++ Cincinnati n...
865037
Yesterday objective vertigo, nausea, vomiting. Currently asymptomatic PMH: - Former smoker (quit in 2002). Intermittent urinary incontinence. Independent in ADLs/IADLs. - Hypertension. - Pulmonary emphysema. - T2DM managed with diet. - Lung squamous cell carcinoma LSD (pT2 N1 G2 stage IIb) status post left pneumonectom...
1630456
In ED for general malaise. Reports episodes of LE giving way associated with left-sided pulsating hemicranial headache; denies other deficits. Never fell to the ground, no trauma, in particular no head trauma. Denies syncope or LOC. No fever. No cough or dyspnea. No chest pain. No palpitations. No nausea, no vomiting o...
501019
Presents to the ED accompanied by MSA reporting 2 days of oppressive retrosternal chest pain associated with worsening of chronic dyspnea and irritative cough. No fever. No urinary symptoms. Today also onset of diarrhea (5 episodes), no blood or mucus in the stools. Reports having taken prednisone 5 mg 1 tab both yeste...
1698819
In ED for epigastric pain of burning/cramping character for about 3 days, continuous. Reports nausea and some episodes of vomiting. Reports hyporexia. The patient reports near-zero fluid intake in the past days due to vomiting always following the intake of minimal amounts of oral liquids. Denies diarrhea. Bowel open t...
1674634
Arrives to the ED for detection this evening of desaturation at home (SpO2 78% on NC 1 L/min) associated with dyspnea on minimal exertion and fever (Tmax 39) for about 7 days. Also reports dysuria and urinary frequency. Chronic productive cough not worsened in recent days; no chest or abdominal pain reported. APP: rec...
989490
Since Saturday 29/10 progressive exertional dyspnea, worsened today, since last night also present at LUOGO. No angina, no palpitations. No fever. Last Wednesday reports an episode of pain at the shoulder girdle and upper back of long duration (several hours), resolved after ibuprofen. In recent days hyporexia with mar...
1029779
Arrives in the ED sent from LUOGO in Settimo T.se for anasarca not responsive to diuretic therapy. today metolazone 1 tablet administered PMH: - valvular heart disease: - 12/2009 worsening dyspnea + asthenia with severe intraprosthetic insufficiency with a highly eccentric regurgitant jet directed along the interatria...
1704803
for 2 days dependent edema and dyspnea, no fever, no cough independent in ADL and IADL but initial functional limitation. cognitively intact HPI discharged on 17.2 from MIC 2 with diagnosis of respiratory failure in heart failure and acute asthmatic bronchitis PMH: - Hospitalized from 8 to 15/11 for heart failure, tre...
1222739
In the ED for SARS-CoV-2 swab due to contact with a positive operatrice on 5/1 us. Reported sliding to the floor from bed with difficulty getting up; telemonitoring was contacted, which sent an operator and helped to get up from the floor. No head trauma, no other trauma. Mild chronic cough in a known smoker. No fever....
975758
Presents to the ED for oppressive chest pain that began about 48 hours ago at rest. Pain reported as retrosternal with subsequent radiation to the jugulum, never resolved over the 48 hours (only intensity varied). The pain changes with position (decreases when supine) and is not associated with palpitations or dyspnea,...
501481
HPI: For several days, progressively worsening dyspnea and orthopnea. Since last night, further worsening of dyspnea. In triage, fever (Temp 38.2°C). Denies cough, anosmia, ageusia, diarrhea, nausea and/or vomiting. Completed SARS-CoV-2 vaccination (2 doses). PARENTE: NUM_TELEFONO PMH: - Former smoker - Ischemic hear...
477326
Patient presents to ED for left hemithorax pain, stabbing and constrictive, onset around 9:30 today at rest, non-radiating, not modified by movements, deep inspiration, or palpation, never completely resolved, not associated with other symptoms. In the preceding days, similar episodes lasting a few minutes with spontan...
1126468
The patient reports recurrent epistaxis for about 1 week; this morning finding of severe thrombocytopenia (PLT 2000 /mcL) and anemia 7.4/dl. No fever, dyspnea, cough, coryza, pharyngodynia, ageusia, anosmia, diarrhea, arthromyalgias, asthenia. No contacts with suspected or confirmed COVID cases. PMH: - Pacemaker for s...
40103
Presents to the ED for right flank pain onset this morning associated with fever (T 38°C), nausea, no vomiting. No altered bowel habits. About 15 days ago similar symptoms; medical on-call service alerted with indication for antibiotic therapy, the name of which he cannot report, and analgesic therapy with paracetamol....
47446
In ED for general malaise occurring during the night and characterized by cold sensation associated with tremors in all 4 limbs. Recorded Temp: normal. Reports detection of elevated blood pressure (BP 170/85). About 10 days ago postprandial presyncopal episode (after a heavy meal) while seated; reports she had maintain...
255399
Brought to the ED by ALS EMS, found by neighbors on the ground in the street after loss of consciousness, with sphincter release and morsus. The patient does not recall the event; recalls the events before the loss of consciousness. Denies dyspnea, chest pain, palpitations. No fever or cough or other COVID-related symp...
261156
ED presentation for progressive dyspnea over the last 7 days (but overall worsened after SARS-CoV-2 infection), associated with worsening dependent edema. No angina, mild nonproductive cough, no fever but chills. In respiratory distress in the ED. PMH: - Smoker, overweight, diabetes mellitus on insulin therapy - OSA -...
1301226
In ED for atypical chest pain in the left hemithorax with pain also on palpation. Dyspnea with mild exertion Vaccinated 2 doses. Second dose months ago Recent ED visit on 4/6/21 with refusal of admission in patient with diagnosis of heart failure in hypokinetic cardiomyopathy Denies fever, denies cough, and denies sput...
433849
in ED, managed by MSB. Since yesterday onset of some episodes of yellow loose stools, not associated with fever, nor abdominal pain nor nausea/vomiting. Additionally the PARENTE reports urine leakage from the catheter with questionable hematuria. Foley catheter replaced on 14/03 (this month). Recent ED visit for malfu...
1190743
ED presentation for onset of tremors around 06:20, witnessed by PARENTE. PARENTE applied oxygen. During the episode patient remained alert throughout. Afebrile on 118 assessment. No significant symptoms in the preceding days, including dyspnea, fever, cough, dysuria. PMH: - COPD on oxygen therapy as needed (30 min in ...
1729936
Presents to the ED for diffuse abdominal and chest pain. Reports herpes zoster in recent days. PMH: - Hypertension - Dyslipidemia - Subcritical carotid vasculopathy - CKD stage V on dialysis, urine output preserved - Thrice-weekly dialysis - CAD. Three-vessel coronary artery disease; PCI with drug-eluting stent of the...
1608637
In ED for intermittent palpitations. No chest pain. Additionally over the last few days fever, associated with minimally productive cough. 04/2023 ED visit for the same reason, discharged with diagnosis of paroxysmal AF; subsequent cardiology visit with indication to start DOAC (edoxaban) and stop ASA. 11/2023 ED visi...
1501125
In ED for onset of palpitations at approximately 15:15 today 1/12. The patient reports sensation of retrosternal pain/discomfort associated with palpitations, radiating to the bilateral mandibular region, similar to that occurring in 5/2021, after which hospitalization for coronary angiography followed (PTCA+stent perf...
940868
In ED for onset this morning at approximately 09:00, at rest, of retrosternal chest pain, non-radiating, stabbing, that varies with position (reports relief maintaining a forward-flexed posture of the trunk - no difference in supine or semi-upright), pain not increased with palpation, increased during deep inspiratory ...
142068
From triage it appears: in ED sent by PCP for worsening of clinical status in recent UTI due to Klebsiella pneumoniae. In recent days fever (T up to 38). At triage tachycardic pulse, BP 90/45 mmHg, T 37.1. Presence of indwelling Foley catheter with reduced urine output, about 50 ml, presence of debris inside the cathet...
679259
In ED for orbital hematoma and lacerated-contused wound of the eyelid margin. Fell and struck the nightstand. On NOAC PMH: - vaccinated against SARS-CoV-2 (last dose 05/2021) - Former smoker. Former factory worker - Follicular lymphoma grade 3A, treated with chemotherapy, followed at Molinette, last staging CT in 11/2...
515764
Presents to ED on PCP recommendation. On 6/6, follow-up chest X-ray for pulmonary silicosis with finding of right pleural effusion. Pleural effusion already present in January 2023, underwent thoracentesis with subsequent finding of hydropneumothorax due to rigid lung. Thoracic surgery visit 2/2/23: reviewed chest X-ra...
1426718
TRIAGE: The patient is brought by MSA for decline in general condition caused by low fluid intake for a few days. Arousable to stimulus. RR 18 SpO2 94% RA BP 110/60 HR 74. No use of accessory muscles. No other symptoms or complaints. Request for respite admission. NUM_TELEFONO PARENTE MEDICAL ASSESSMENT: markedly debi...
1567924
In ED for: Since this morning at 09:30 vertex headache, "frying" type; reported dyspnea and global chest pain and generalized asthenia, and reported difficulty with ambulation. Diffuse tremors and chills without evidence of fever. Well until last night. No evident inflammatory symptoms. Lives with PARENTE Ambulates w...
1717352
ED visit for onset of swelling and hyperemia on the dorsal surface of the L leg for 5 days. Reports trauma at that site. ED visit on 21/5: Presents for onset of dyspnea and orthopnea for about 10 days, worsened tonight. Denies fever, cough, or chest pain. Labs show evidence of microcytic anemia. PMH: - COPD in a form...
1774125
Presents to the ED for fever and diffuse arthralgias for three days Denies cough, chest pain, dyspnea, and urinary symptoms The PARENTE report difficulty managing at home Discharged on 10/01 from Medicine with diagnosis of right basal pneumonia in s, myelodysplastic (Hb on 09/01 7,2 gr/dl) PMH: - Type 2 diabetes melli...
1599285
History obtained from interview with patient and PARENTE contacted by telephone (number NUM_TELEFONO) In ED because two days ago onset of bilateral cyanosis of the toes extending to the foot (PARENTE reports similar episodes in the past but limited to the toes) not associated with pain or cold lower limb and regressed...
882572
HISTORY DIFFICULT TO OBTAIN For 4 days diffuse pain, more localized to the thoracic spine, sometimes in the epigastrium and sometimes a sensation of constriction at the jugulum. Associated protean symptomatology, localized at the auricular level, frontal region, lower limbs; worsening of known psoriasis. Associated dys...
1228581
INTERVIEW WITH THE PATIENT Reports diffuse myalgias and marked asthenia for about one week, in the absence of clear perceived signs suspicious for infection (no headache, no pharyngodynia, no cough, no abdominal pain; bowel habit known as constipated, no dysuria). Associated difficulty drinking with lateral leakage of ...
1144059
In ED for persistent dizziness and headache for approximately 7 days, constant. Onset of symptoms one evening with onset of vertiginous syndrome - upon awakening persistent headache Headache NRS 8 at the sphenoidal sinus - and frontal No back pain - no cervical pain Functional limitation - no visual changes No LOC. Fir...
2136
Brought to the ED by EMS for worsening dyspnea with scant productive cough with whitish sputum. Dyspnea worsened in the supine position. Denies chest pain, denies fever at home. Patient with ED visit on 16/02/23 for dyspnea; labs (WBC 15,220, CRP 1.32, creatinine 1.52, platelets 96,000) and chest X-ray showed a known ...
1314566
Reports cramp-like pain in the hypogastric, midline prepubic area, radiating to the R testicle, with onset in August 2021 (after administration of the third dose of SARS-CoV-2 vaccine) but in recent days recurrent and increased. Previously presented to PCP who recommended colonoscopy, negative. Denies fever, no cough, ...
1229756
Since approximately 04:00, sensation of palpitations, preceded by nausea in apr hypertension -dyslipidemia -overweight -AF already underwent ECV 12/2020 and 5/2021 -known SV extrasystoles -mild-moderate OSA -Echocardiogram 10/2020: IVs, EF 66%, mild inferobasal hypokinesia; coronary CTA: coronary arteries within norma...
165324
In ED for 10-day onset of dyspnea on exertion progressively worsening to dyspnea at rest, associated with orthopnea (habitually sleeps with 2 pillows) and mild cough, no fever. Known dependent edema, not worsened. Denies chest pain. PMH: - Obese - Type 2 DM on insulin therapy - Hypertension. Echo 2020: EF 65%, grade I...
587713
ED presentation for anterior and posterior epistaxis since this morning at 08:00. PMH: - T2DM - Aortic valvulopathy (last TTE in February 2022: EF 49%, moderate aortic valve stenosis, mild MR (transmitral flow morphology of grade III diastolic dysfunction). - Left pulmonary lobectomy for carcinoid with subsequent PE. ...
1742772
In the ED for an episode of chest and left arm pain since this morning Reports since this morning intermittent episodes of chest pain of about 20 minutes' duration, localized, non-radiating, occurring spontaneously and resolving spontaneously after about 30 minutes — no clear correlation with exertion, not modified by ...
235068
HPI: At 9:30 this morning, onset of cold diaphoresis, left-sided pulsatile headache, sense of chest oppression and at the jugular region lasting about 20 min while at work (tube preforming) after an altercation at work. BP measured at 170/80 mmHg. During triage wait, new onset of similar pain, currently in remission. D...
1207
Patient presenting to the ED because since yesterday he has had an episode of chest pain associated with dyspnea, currently regressed. The pain did not resemble previous ischemic pain; rather stabbing in nature, without radiation. PMH (from history, documentation missing): - smoker - hypertensive - dyslipidemia - in 2...
442295
Presents for urinary retention and bowel closed to stool since last evening recent admission to Internal Medicine for respiratory failure in hypokinetic cardiomyopathy and right pleural effusion + severe mitral regurgitation scheduled in June for cardiology evaluation for ICD implantation; will also be contacted to sch...
1818952
Progress note written retrospectively to provide care to the patient In ED with ALS for CPA. Orotracheal intubation reported with GCS 4 at home; patient arrives not intubated with CPR in progress (no LUCAS). PMH: - Lives with PARENTE - Smoker (quit about 2 weeks ago at the time of hospitalization), with diagnosis of ...
1590345
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Dataset description

This dataset contains the train unannotated clinical notes for the CRF:filling Shared Task at CL4Health2026. The clinical notes have been collected, anonymized and annotated at the San Giovanni Bosco (SGB) hospital, Turin, Italy. There are two splits, each representing a different language: en (English) and it (Italian). English data has been automatically translated from Italian.

Each example (2667 in total) in the dataset is composed by:

  • document_id: clinical note identifier
  • clinical_note: the note reporting on the patient's clinical history

For more info visit the website https://sites.google.com/fbk.eu/crf

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