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Classify the following medical document.
TITLE: CCU Progress Note Chief Complaint: 24 Hour Events: - No overnight events - Comfortable on room air. - Requesting to go home Allergies: No Known Drug Allergies Last dose of Antibiotics: Infusions: Other ICU medications: Other medications: Changes to medical and family history: ...
Physician
Classify the following medical document.
Admission Date: [**2178-10-24**] Discharge Date: [**2178-10-30**] Date of Birth: [**2135-7-24**] Sex: M Service: MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 106**] Chief Complaint: chest pain Major Surgical or Invasive Proc...
Discharge summary
Classify the following medical document.
micu npn 1900-0700 patient received at 1900 from am shift. micu team had finished putting in r subclavian quad lumen. cxr showing that it was not in the correct position. dr [**Last Name (STitle) **] coming down to assist in rewiring line. cxr done and line ok per resident samone [**Doctor Last Name **]. r ij lin...
Nursing/other
Classify the following medical document.
Admission Date: [**2159-9-18**] Discharge Date: [**2159-9-20**] Date of Birth: [**2084-12-10**] Sex: M Service: MEDICINE Allergies: Enalapril Attending:[**First Name3 (LF) 106**] Chief Complaint: s/p right carotid angiography and stenting Major Surgical or Invasive Procedure: Right c...
Discharge summary
Classify the following medical document.
TITLE: [**Hospital Unit Name 10**] Resident Progress Note Chief Complaint: 24 Hour Events: - off neosynephrine, only on levophed - checking daily LFTs and amylase/lipase as is s/p ERCP - Echo results [**8-22**] showed hyperdynamic LV, EF >75%, mild LVH, no focal wall motion abnormality - CVP was 22...
Physician
Classify the following medical document.
TITLE: Chief Complaint: Hypoxia HPI: This is a 45 year old Armenian female transferred from the BMT service with worsening hypoxia. She was in her usual state of health until mid [**Month (only) 93**], she began to have fevers, chills, nightsweats. This was accompanied by a non-productive cough, na...
Physician
Classify the following medical document.
Mr. [**Known firstname 20**] [**Known lastname **] is a 86 yo man with h/o CAD s/p MI and CABG in [**2136**], chronic AFib with V-pacing, chronic systolic CHF with EF 20%, multiple recent admission to the CCU for ICD firing, readmitted from [**Hospital **] rehab for left sided chest pain. He reports that he h...
Nursing
Classify the following medical document.
Admission Date: [**2137-9-11**] Discharge Date: [**2137-9-14**] Date of Birth: [**2062-9-1**] Sex: M Service: MED Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 689**] Chief Complaint: Melena Major Surgical or Invasive Procedure: Esoph...
Discharge summary
Classify the following medical document.
TSICU HPI: 66F with hx of [**Hospital 1571**] transferred from [**Location (un) 78**] after having worst HA of life at 4p while at church. She denied N/V, CP, SOB, LOC. Was found to have SAH at OSH, Dilantin loaded and started on Nimodipine. She was then transferred here for further evaluation. Chief ...
Physician
Classify the following medical document.
Chief Complaint: I saw and examined the patient, and was physically present with the ICU Resident for key portions of the services provided. I agree with his / her note above, including assessment and plan. HPI: 58 yo man with with h/o ETOH abuse. Quit drinking on [**5-27**]. Had some gait difficu...
Physician
Classify the following medical document.
TITLE: Chief Complaint: 24 Hour Events: Echo - Left ventricular cavity enlargement with extensive regional systolic dysfunction c/w CAD (mid-LAD distribution, LVEF = 25-30). Mild aortic regurgitation. Pulmonary artery systolic hypertension. Mild mitral regurgitation. CT surgery, will likely get CABG W...
Physician
Classify the following medical document.
Chief Complaint: 24 Hour Events: EKG - At [**2148-12-2**] 08:50 AM History obtained from Medical records Patient unable to provide history: Sedated Allergies: Ace Inhibitors Cough; Last dose of Antibiotics: Piperacillin/Tazobactam (Zosyn) - [**2148-12-2**] 02:00 PM Vancomycin - [**2148-12-2*...
Physician
Classify the following medical document.
TITLE: Chief Complaint: 56 year old woman with metastatic breast cancer to bone, lung and brain, presenting with worsening lower extremity edema, found to be hypoxic and with new large right pleural effusion. 24 Hour Events: THORACENTESIS - At [**2162-5-2**] 02:11 PM Allergies: Taxol (Intraven.) (Pac...
Physician
Classify the following medical document.
Admission Date: [**2120-8-28**] Discharge Date: [**2120-9-6**] Date of Birth: [**2043-6-19**] Sex: M Service: ORTHOPAEDICS Allergies: Penicillins / Sulfa (Sulfonamides) / Iodine Attending:[**First Name3 (LF) 3190**] Chief Complaint: Pt presented s/p fall w/bilaterall lower ext weaknes...
Discharge summary
Classify the following medical document.
Chief Complaint: Acute respiratory failure, pneumonia I saw and examined the patient, and was physically present with the ICU Resident for key portions of the services provided. I agree with his / her note above, including assessment and plan. HPI: 24 Hour Events: PICC LINE - START [**2105-12-10**] 10:...
Physician
Classify the following medical document.
TITLE: Chief Complaint: 24 Hour Events: Extubated yesterday, required racemic epi for upper airway sounds, briefly without gag reflex following extubation. T max of 100.1. Amio 400 TID started. Tele: 3 short runs of NSVT. Allergies: No Known Drug Allergies Last dose of Antibiotics: Bactrim (S...
Physician
Classify the following medical document.
Admission Date: [**2135-7-30**] Discharge Date: [**2135-8-6**] Date of Birth: [**2082-12-21**] Sex: M Service: [**Hospital1 212**] HISTORY OF PRESENT ILLNESS: Patient is a 52-year-old man with a history of HIV, now viral counts are undetectable, and 350 CD4 count who presents with bloody diarrhea thre...
Discharge summary
Classify the following medical document.
Admission Date: [**2120-8-16**] Discharge Date: [**2120-8-20**] Date of Birth: [**2067-7-3**] Sex: M Service: MEDICINE Allergies: Tetracycline / Clarithromycin Attending:[**First Name3 (LF) 2901**] Chief Complaint: Chest pain Major Surgical or Invasive Procedure: Cardiac catheterizat...
Discharge summary
Classify the following medical document.
Chief Complaint: 24 Hour Events: BLOOD CULTURED - At [**2119-6-27**] 12:26 AM FEVER - 102.8 F - [**2119-6-27**] 12:24 AM - Conjugated hyperbilirubinemia - Vitamin K 5mg PO x1 - ID - Continue antibiotics, continue surveillance cultures. Persistent fevers not concerning at this point. If continues, consi...
Physician
Classify the following medical document.
55 y.o. male with PMHx of DM, HTN, CAD s/p IMI with 3 stents to RCA and recently diagnosed RCC who was transferred from [**Hospital3 **]for ongoing work-up of acute renal failure and change in mental status. . Patient was admitted to [**Hospital3 **]Hospital on [**2165-4-16**] for chest and abdominal pai...
Nursing
Classify the following medical document.
[**2156-2-6**] 5:37 PM IVC GRAM/FILTER Clip # [**0-0-**] Reason: High clinical suspicion PEpersitent hypoxia of sudden onsetP Contrast: OPTIRAY Amt: 40 ********************************* CPT Codes ******************************** * [**Numeric Identifier 1623**] INTER...
Radiology
Classify the following medical document.
65 yo M without medical history presenting for evaluation of shortness of breath, nausea and vomiting. 5-6 days prior to admission he developed paroxysmal cough. He obtained Tessalon Perles and an antibiotic from a local allergist. Over the weekend, he developed prominent GI symptoms w/ persistent nausea,...
Nursing
Classify the following medical document.
Admission Date: [**2144-7-1**] Discharge Date: [**2144-7-6**] Service: NEUROSURGERY Allergies: Sulfa (Sulfonamide Antibiotics) / aspirin Attending:[**First Name3 (LF) 1835**] Chief Complaint: s/p fall Major Surgical or Invasive Procedure: None History of Present Illness: The patient is an 88 year...
Discharge summary
Classify the following medical document.
SICU HPI: 70yo M w/ persistent abd pain, poor po intake, w/ gallstone pancreatitis, complicated by abdominal compartment syndrome following ERCP, ARDS, septic vasodilatory shock, Cdiff, and ARF. Now with necrotizing pancreatitis s/p drain placement and multiple necrosectomies. . SURGERIES: ex...
Physician
Classify the following medical document.
Chief Complaint: septic shock I saw and examined the patient, and was physically present with the ICU Resident for key portions of the services provided. I agree with his / her note above, including assessment and plan. HPI: 42 y/o F w/CVID, Hep C cirrhosis, adm with C.diff sepsis. 24 Hour Events: ...
Physician
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