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701 | CXR PA: Moderate right pleural effusion. Small left pleural effusion. Right middle lobe atelectasis. Patchy bilateral infiltrates. Port-a-cath in appropriate position. | Chest X-ray results: There is a moderate amount of fluid around the right lung. There is a small amount of fluid around the left lung. Part of the right lung has partially collapsed [atelectasis], possibly from mucus plugging. There are scattered cloudy patches in both lungs suggesting infection or inflammation. The im... | Pulmonology | Radiology Report | high |
702 | 25 y/o F with PMH of ICD in situ, s/p THR, depression, HLD, admitted for syncope. Cardiac workup and neurologic evaluation performed. Managed per protocol with improvement. Diabetic diet, SMBG BID. D/C on metformin 500mg BID, montelukast 10mg QHS, azithromycin 500mg day 1 then 250mg x 4 days, calcium + vitamin D 600/40... | A 25-year-old woman with a history of implanted heart defibrillator, prior hip replacement, depression, and high cholesterol was admitted for fainting [loss of consciousness]. Cardiac workup and neurologic evaluation performed. They were treated according to standard guidelines and improved. Follow a diabetes-friendly ... | Cardiology | Discharge Summary | high |
703 | Delivery Note: G?P? at 38+2 weeks. SVD. Live male infant. APGAR 7/9. EBL within expected limits. Mother stable. | Birth summary: pregnancy reached about 38+2 weeks gestation. The baby was delivered by normal vaginal delivery. The newborn is a healthy male. APGAR scores were 7/9. Bleeding was normal. Mother did well after delivery. | Obstetrics | Delivery Note | high |
704 | Lipid panel: TC 241, LDL 41, HDL 49, TG 181. | Your cholesterol results: Total cholesterol is 241. LDL (bad cholesterol) is at goal (41). HDL (good cholesterol) is good at 49. Triglycerides are high at 181. | Cardiology | Lab Result | high |
705 | CT Head without contrast: Subarachnoid hemorrhage in bilateral sylvian fissures. No mass effect. No acute intracranial hemorrhage. Periventricular white matter hypodensities consistent with chronic small vessel ischemic disease. No midline shift. | CT scan of the head results: There is bleeding around the brain surface, particularly in the grooves on both sides. There are no tumors or masses pushing on the brain. There is no bleeding in the brain. There are aging-related changes in the brain's white matter from reduced blood flow to small vessels over time. The b... | Neurology | Radiology Report | high |
706 | 63 y/o M presenting to ED with acute onset SOB, unable to speak in full sentences. Vitals: BP 168/92, HR 118, RR 28, O2 85% on RA. CXR: bilateral pleural effusions, pulmonary edema. BNP 2400. Dx: Acute decompensated CHF. IV furosemide 80mg, BiPAP, nitroglycerin drip. Admit CCU. | A 63-year-old man came to the emergency room with sudden severe difficulty breathing, unable to finish sentences. Vital signs: blood pressure high, heart rate very fast, breathing very rapid, oxygen dangerously low at 85%. Chest X-ray showed fluid in both lungs. Heart failure blood test very high. Diagnosis: severe hea... | Emergency Medicine | Clinical Note | high |
707 | Lipid panel: TC 306, LDL 44, HDL 57, TG 189. | Your cholesterol results: Total cholesterol is 306. LDL (bad cholesterol) is at goal (44). HDL (good cholesterol) is good at 57. Triglycerides are high at 189. | Cardiology | Lab Result | high |
708 | LFTs: AST 441 (H), ALT 62 (H), ALP 121, T.Bili 1.3 (H), Albumin 3.0. | Your liver blood test results: Liver enzymes (AST 441, ALT 62) are mildly elevated (normal is under 40). Bilirubin is mildly elevated at 1.3. Albumin is low at 3.0 (normal 3.5-5.5), suggesting the liver is struggling to make important proteins. | Gastroenterology | Lab Result | high |
709 | Rx: Tab calcium + vitamin D 600/400 daily. Tab furosemide 40mg BID. Tab furosemide 40mg daily. Tab azithromycin 500mg day 1 then 250mg x 4 days. Adv: fall precautions, home safety evaluation Adv: elevate affected limb, compression stockings. F/U INR in 3 days. | Your medicines: (1) calcium plus vitamin D once daily [bone strengthening]. (2) furosemide (Lasix) 40mg twice daily [water pill]. (3) furosemide (Lasix) 40mg once daily [water pill to remove extra fluid]. (4) azithromycin: 500mg on day 1, then 250mg for the next 4 days [antibiotic]. Advice: take steps to prevent falls ... | Cardiology | Prescription | high |
710 | 22 y/o F presenting to ED with substernal CP radiating to L arm x 1hr, diaphoresis. Vitals: BP 165/95, HR 92, RR 18, O2 98%. ECG: ST elevation V1-V4. Troponin 2.1 (H). Dx: STEMI. Cath lab activated. ASA 325mg, Plavix 600mg, heparin bolus. Emergent PCI. | A 22-year-old woman came to the emergency room with crushing chest pain spreading to the left arm for 1 hour with heavy sweating. Vital signs: blood pressure elevated, heart rate slightly fast, breathing normal, oxygen normal. Heart test (ECG) showed a heart attack pattern. Blood test confirmed heart muscle damage. Dia... | Emergency Medicine | Clinical Note | high |
711 | 27 y/o F presenting to ED with acute onset pleuritic CP, SOB, R calf swelling x 3 days. Vitals: BP 132/88, HR 112, RR 24, O2 91% on RA. D-dimer elevated. CTA chest: bilateral PE with RV strain. US R LE: popliteal DVT. Dx: Bilateral PE with DVT. Heparin drip started. Consider catheter-directed thrombolysis given RV stra... | A 27-year-old woman came to the emergency room with sudden chest pain that worsens with breathing, shortness of breath, and right calf swelling for 3 days. Vital signs: blood pressure normal, heart rate fast, breathing rapid, oxygen low at 91%. A blood clot screening test was positive. CT scan confirmed blood clots in ... | Emergency Medicine | Clinical Note | high |
712 | MRI Lumbar Spine: L4-L5 disc herniation with moderate bilateral foraminal stenosis. Multilevel degenerative disc disease. | MRI of the lower back results: At the L4-L5 level, a disc has pushed outward [herniated] and is narrowing the nerve tunnels on both sides. Multiple discs in the spine are showing wear and aging. | Orthopedics | Radiology Report | high |
713 | Methotrexate 15mg weekly on fixed weekday only; folic acid except MTX day; avoid alcohol. | Take methotrexate only once per week on the same day — never daily. Take folic acid as directed. Avoid alcohol. | Rheumatology | Medication Instruction | medium |
714 | Rx: Tab amoxicillin 500mg TID x 10 days. Tab atorvastatin 40mg QHS. Tab potassium chloride 20mEq daily. Tab montelukast 10mg QHS. Adv: SMBG BID, diabetic diet Adv: smoking cessation, pulmonary rehab. F/U INR in 3 days. | Your medicines: (1) amoxicillin 500mg three times daily for 10 days [antibiotic — complete full course]. (2) atorvastatin 40mg at bedtime [cholesterol medicine]. (3) potassium supplement 20mEq once daily [replaces potassium lost from water pills]. (4) montelukast 10mg at bedtime [asthma/allergy medicine]. Advice: check... | Cardiology | Prescription | high |
715 | 91 y/o M presenting to ED with altered mental status, found unresponsive at home. Vitals: BP 88/52, HR 128, RR 8, T 96.2F, O2 88%, GCS 8. Glucose 32 (L). UDS positive for opioids. Narcan 2mg IV x 2 with improvement. Dx: Mixed presentation: hypoglycemia + opioid overdose. D50 IV push, Narcan drip. Monitor for re-sedatio... | A 91-year-old man came to the emergency room with found unconscious at home, not responding normally. Vital signs: blood pressure dangerously low, heart rate very fast, breathing slow, temperature low, oxygen very low, barely responsive. Blood sugar was dangerously low at 32. Drug screen positive for opioids. Narcan (o... | Emergency Medicine | Clinical Note | high |
716 | 34 y/o F presenting to ED with seizure witnessed by family, GTC x 3 min, postictal x 15 min. Vitals: BP 152/88, HR 98, T 98.6F, GCS 14 (postictal). CT Head: no hemorrhage. BMP: Na 128 (L). Keppra level <5 (subtherapeutic). Known seizure disorder, off meds x 1 week. Dx: Breakthrough seizure secondary to medication nonco... | A 34-year-old woman came to the emergency room with a full-body seizure witnessed by family lasting about 3 minutes, followed by 15 minutes of confusion. Vital signs: blood pressure elevated (from seizure), heart rate slightly fast, no fever, mostly alert but still slightly confused. CT scan shows no bleeding. Sodium i... | Emergency Medicine | Clinical Note | high |
717 | 69 y/o M with PMH of ICD in situ, s/p TKR, admitted for DVT. Ultrasound confirmed DVT. Anticoagulation started. Managed per protocol with improvement. Smoking cessation counseling provided. D/C on acetaminophen 650mg Q6H PRN, atorvastatin 40mg QHS, pantoprazole 40mg AC breakfast, Eliquis 5mg BID. F/U orthopedics in 6 w... | A 69-year-old man with a history of implanted heart defibrillator, and prior knee replacement was admitted for a blood clot in the leg [deep vein thrombosis]. Ultrasound confirmed DVT. Anticoagulation started. They were treated according to standard guidelines and improved. Strongly encouraged to quit smoking. Resource... | Hematology | Discharge Summary | high |
718 | 80 y/o F with PMH of CHF, CAD, admitted for STEMI. ECG showed ST elevation. Troponin markedly elevated. Managed per protocol with improvement. BRAT diet x 48hrs, advance as tolerated. D/C on hydroxychloroquine 200mg BID, furosemide 40mg daily, Spiriva 18mcg daily. F/U PCP in 2 weeks. | A 80-year-old woman with a history of heart failure, and coronary artery disease [heart artery blockages] was admitted for a serious heart attack requiring emergency treatment. ECG showed ST elevation. Troponin markedly elevated. They were treated according to standard guidelines and improved. Eat bland food for 48 hou... | Cardiology | Discharge Summary | high |
719 | 40 y/o F with PMH of CKD Stage 3, CAD, admitted for acute kidney injury. Creatinine rose sharply from baseline. Managed per protocol with improvement. Compression stockings when ambulating. D/C on Xarelto 20mg daily with dinner, ASA 81mg daily, prednisone taper, lisinopril 10mg daily. F/U surgery in 2 weeks for drain r... | A 40-year-old woman with a history of moderate kidney disease, and coronary artery disease [heart artery blockages] was admitted for sudden worsening of kidney function. Kidney waste products rose sharply from baseline. They were treated according to standard guidelines and improved. Wear compression stockings on your ... | Nephrology | Discharge Summary | high |
720 | CXR PA: Patchy bilateral infiltrates. Small left pleural effusion. Osseous structures intact. | Chest X-ray results: There are scattered cloudy patches in both lungs suggesting infection or inflammation. There is a small amount of fluid around the left lung. The bones look normal with no fractures. | Pulmonology | Radiology Report | high |
721 | CT Head without contrast: Paranasal sinuses clear. No acute intracranial hemorrhage. Periventricular white matter hypodensities consistent with chronic small vessel ischemic disease. Acute ischemic infarct in R MCA territory. | CT scan of the head results: The sinuses are clear with no infection. There is no bleeding in the brain. There are aging-related changes in the brain's white matter from reduced blood flow to small vessels over time. There is a new stroke affecting the right side of the brain, in the area supplied by the middle cerebra... | Neurology | Radiology Report | high |
722 | 69 y/o M with PMH of ESRD on HD, DVT/PE on warfarin, admitted for AECOPD. O2 sat dropped. Required supplemental oxygen. Managed per protocol with improvement. Incentive spirometry Q1H while awake, ambulate TID. D/C on carvedilol 12.5mg BID, prednisone taper. F/U hematology in 2 weeks. | A 69-year-old man with a history of kidney failure requiring dialysis, and blood clots [on blood thinner warfarin] was admitted for a severe flare-up of chronic lung disease. Oxygen levels dropped. Required supplemental oxygen. They were treated according to standard guidelines and improved. Use the breathing exercise ... | Pulmonology | Discharge Summary | high |
723 | 23 y/o M with PMH of CHF, GERD, CKD Stage 3, h/o CVA, admitted for appendicitis. CT confirmed. Taken to OR for laparoscopic appendectomy. Managed per protocol with improvement. Low potassium diet. D/C on latanoprost 0.005% OU QHS, metformin 500mg BID, carvedilol 12.5mg BID, warfarin 5mg daily, levothyroxine 75mcg daily... | A 23-year-old man with a history of heart failure, acid reflux, moderate kidney disease, and history of stroke was admitted for inflammation of the appendix. CT confirmed. Taken to OR for laparoscopic appendectomy. They were treated according to standard guidelines and improved. Avoid high-potassium foods: bananas, ora... | General Surgery | Discharge Summary | high |
724 | HbA1c: 12.2% (H). FBS: 109 mg/dL (H). | Your diabetes blood test results: HbA1c is 12.2%, which is very high, meaning blood sugar has been dangerously uncontrolled (target is under 7%). Fasting blood sugar was 109, which is high (normal is 70-100). Urgent medication adjustment needed. Very high risk of diabetes complications at this level. | Endocrinology | Lab Result | high |
725 | PATH: Skin excision: melanoma in situ, Breslow not applicable, peripheral margins clear. | Pathology results in plain language: Early melanoma confined to the top skin layer, removed with clear edges. | Dermatology | Pathology Report | high |
726 | CXR PA: Sternotomy wires intact. Mild cardiomegaly. No cardiomegaly. Patchy bilateral infiltrates. | Chest X-ray results: The wires from prior heart surgery are intact. The heart is slightly larger than normal. The heart is a normal size. There are scattered cloudy patches in both lungs suggesting infection or inflammation. | Pulmonology | Radiology Report | high |
727 | PATH: Breast: IDC, Nottingham grade 2, ER/PR positive, HER2 negative, margins negative. | Pathology results in plain language: Breast biopsy shows invasive ductal carcinoma, moderately aggressive. Hormone receptors positive (often treatable with hormone therapy). HER2 negative. Edges of tissue clear of cancer. | Oncology | Pathology Report | high |
728 | CXR PA: Right-sided pneumothorax. ET tube 3cm above carina. Osseous structures intact. | Chest X-ray results: The right lung has partially collapsed due to air leaking into the chest cavity [pneumothorax]. The breathing tube is in good position. The bones look normal with no fractures. | Pulmonology | Radiology Report | high |
729 | CXR PA: Left lower lobe consolidation. No pneumothorax. Right lower lobe consolidation. Increased interstitial markings suggesting pulmonary edema. | Chest X-ray results: There is an area in the lower left lung that appears infected. There is no collapsed lung. There is an area in the lower right lung that appears infected, suggesting pneumonia. There are signs of extra fluid in the lung tissue, suggesting the heart may not be pumping efficiently [pulmonary edema]. | Pulmonology | Radiology Report | high |
730 | Rx: Tab pregabalin 75mg BID. Spiriva 18mcg daily. Tab ondansetron 4mg Q8H PRN N/V. Tab hydroxychloroquine 200mg BID. Adv: low potassium diet Adv: elevate affected limb, compression stockings. F/U INR in 3 days. | Your medicines: (1) pregabalin 75mg twice daily [nerve pain medicine]. (2) Spiriva inhaler once daily [long-acting lung medicine]. (3) ondansetron (Zofran) 4mg every 8 hours as needed [anti-nausea medicine]. (4) hydroxychloroquine 200mg twice daily [immune-modulating medicine — eye exams needed]. Advice: avoid high-pot... | Pulmonology | Prescription | high |
731 | PATH: Skin excision: melanoma in situ, Breslow not applicable, peripheral margins clear. | Pathology results in plain language: Early melanoma confined to the top skin layer, removed with clear edges. | Dermatology | Pathology Report | high |
732 | Rx: Tab gabapentin 300mg TID. Tab ondansetron 4mg Q8H PRN N/V. Adv: fall precautions, home safety evaluation Avoid NSAIDs. F/U 1 month with repeat imaging. | Your medicines: (1) gabapentin 300mg three times daily [nerve pain medicine — may cause drowsiness]. (2) ondansetron (Zofran) 4mg every 8 hours as needed [anti-nausea medicine]. Advice: take steps to prevent falls — remove loose rugs, install grab bars, use night lights Do not take anti-inflammatory pain medicines like... | Neurology | Prescription | medium |
733 | Procedure: EGD with biopsy. Pt 32 y/o M. Consent obtained. Time-out performed. Procedure completed without immediate complication. Specimen/labs as indicated. Stable to PACU/floor. Post-op orders placed. | This note describes upper endoscopy with small tissue samples taken for a 32-year-old man. Consent was reviewed, safety checks were done, and the procedure finished without immediate problems. The care team monitored recovery and placed routine post-procedure orders. | Gastroenterology | Procedure Note | high |
734 | Rx: Tab atorvastatin 40mg QHS. prednisone taper. Tab spironolactone 25mg daily. Avoid grapefruit juice. F/U 4 weeks with TSH, Free T4. | Your medicines: (1) atorvastatin 40mg at bedtime [cholesterol medicine]. (2) prednisone steroid — dose gradually decreases as directed [do not stop suddenly]. (3) spironolactone 25mg once daily [heart-protecting water pill]. Do not drink grapefruit juice as it interferes with this medication. Come back in 4 weeks for t... | Cardiology | Prescription | medium |
735 | 49 y/o F presenting to ED with severe allergic reaction after eating shellfish, diffuse urticaria, lip/tongue swelling, wheezing. Vitals: BP 82/50, HR 132, RR 28, O2 90%. Clinical diagnosis of anaphylaxis based on exam. Dx: Anaphylaxis. Epinephrine 0.3mg IM x 2 doses. IV NS 2L bolus. IV methylprednisolone 125mg. IV dip... | A 49-year-old woman came to the emergency room with severe allergic reaction after eating shellfish — hives all over body, lips and tongue swelling, wheezing. Vital signs: blood pressure dangerously low (shock), heart rate very fast, breathing rapid, oxygen low. Examination and vital signs support a severe systemic all... | Emergency Medicine | Clinical Note | high |
736 | 75 y/o F with PMH of DM2, RA on MTX, PAD, admitted for AECOPD. O2 sat dropped. Required supplemental oxygen. Managed per protocol with improvement. Daily weights, 1.5L fluid restriction, low sodium diet. D/C on metoprolol 25mg BID, amoxicillin 500mg TID x 10 days, carvedilol 12.5mg BID, lisinopril 10mg daily, tramadol ... | A 75-year-old woman with a history of type 2 diabetes, rheumatoid arthritis [on immune-suppressing medicine], and poor blood flow in the legs [peripheral artery disease] was admitted for a severe flare-up of chronic lung disease. Oxygen levels dropped. Required supplemental oxygen. They were treated according to standa... | Pulmonology | Discharge Summary | high |
737 | 80 y/o M with PMH of h/o CVA, CKD Stage 3, admitted for hypertensive urgency. BP 210/120. IV medications started to lower gradually. Managed per protocol with improvement. Seizure precautions, do not drive x 6 months. D/C on potassium chloride 20mEq daily, clopidogrel 75mg daily, ibuprofen 400mg Q6H PRN with food, Lant... | A 80-year-old man with a history of history of stroke, and moderate kidney disease was admitted for dangerously high blood pressure. BP 210/120. IV medications started to lower gradually. They were treated according to standard guidelines and improved. Take seizure safety measures (no baths alone, no heights). Do not d... | Cardiology | Discharge Summary | high |
738 | 47 y/o F with PMH of OA, s/p THR, admitted for PE. CTA positive for PE. Heparin started. Managed per protocol with improvement. Strict I&O, daily weights. D/C on metformin 500mg BID, Spiriva 18mcg daily, glipizide 5mg BID AC, acetaminophen 650mg Q6H PRN, Dulcolax 10mg QHS PRN. F/U GI in 1 week. | A 47-year-old woman with a history of arthritis [osteoarthritis], and prior hip replacement was admitted for a blood clot in the lungs [pulmonary embolism]. CT scan confirmed a blood clot in the lungs. Heparin started. They were treated according to standard guidelines and improved. Track how much you drink and urinate... | Pulmonology | Discharge Summary | high |
739 | MRI Lumbar Spine: C5-C6 disc herniation with cord compression. L5-S1 disc desiccation with mild bulge. L4-L5 disc herniation with moderate bilateral foraminal stenosis. | MRI of the lower back results: At C5-C6 in the neck, a disc has pushed out and is pressing on the spinal cord — this is significant. At the L5-S1 level, the disc is dried out [worn] with a slight bulge, but not causing significant pressure. At the L4-L5 level, a disc has pushed outward [herniated] and is narrowing the ... | Orthopedics | Radiology Report | high |
740 | CBC: WBC 8.1 (N), Hgb 7.7 (L), Plt 75 (L). | Your blood count results: White blood cells are 8.1 (normal). Hemoglobin is low at 7.7, meaning you are anemic (low blood count) — you may feel tired, weak, or short of breath. Platelets are 75, which is low — your blood may not clot properly, increasing bleeding risk. | Hematology | Lab Result | high |
741 | Procedure: ERCP with sphincterotomy. Pt 44 y/o M. Consent obtained. Time-out performed. Procedure completed without immediate complication. Specimen/labs as indicated. Stable to PACU/floor. Post-op orders placed. | This note describes procedure to open the bile duct using a scope for a 44-year-old man. Consent was reviewed, safety checks were done, and the procedure finished without immediate problems. The care team monitored recovery and placed routine post-procedure orders. | Gastroenterology | Procedure Note | high |
742 | PATH: LN bx: reactive lymphoid hyperplasia, no evidence of lymphoma. | Pathology results in plain language: Lymph node sample shows reactive swelling from infection/inflammation, not lymphoma. | Hematology | Pathology Report | high |
743 | Procedure: ORIF L distal radius. Pt 71 y/o M. Consent obtained. Time-out performed. Procedure completed without immediate complication. Specimen/labs as indicated. Stable to PACU/floor. Post-op orders placed. | This note describes surgery to fix a wrist fracture with plate and screws for a 71-year-old man. Consent was reviewed, safety checks were done, and the procedure finished without immediate problems. The care team monitored recovery and placed routine post-procedure orders. | Orthopedics | Procedure Note | high |
744 | HbA1c: 10.1% (H). FBS: 307 mg/dL (H). | Your diabetes blood test results: HbA1c is 10.1%, which is very high, meaning blood sugar has been dangerously uncontrolled (target is under 7%). Fasting blood sugar was 307, which is high (normal is 70-100). Urgent medication adjustment needed. Very high risk of diabetes complications at this level. | Endocrinology | Lab Result | high |
745 | Procedure: Laparoscopic cholecystectomy. Pt 83 y/o F. Consent obtained. Time-out performed. Procedure completed without immediate complication. Specimen/labs as indicated. Stable to PACU/floor. Post-op orders placed. | This note describes minimally invasive gallbladder removal for a 83-year-old woman. Consent was reviewed, safety checks were done, and the procedure finished without immediate problems. The care team monitored recovery and placed routine post-procedure orders. | General Surgery | Procedure Note | high |
746 | 43 y/o F with PMH of SLE, A-fib, asthma, admitted for chest pain r/o ACS. Serial troponins and cardiac monitoring performed. Managed per protocol with improvement. Fall precautions, PT/OT consult. D/C on glipizide 5mg BID AC, atorvastatin 40mg QHS, clopidogrel 75mg daily. F/U nephrology in 5 days. | A 43-year-old woman with a history of lupus, irregular heartbeat [atrial fibrillation], and asthma was admitted for chest pain being evaluated for a possible heart attack. Serial troponins and cardiac monitoring performed. They were treated according to standard guidelines and improved. Be careful to prevent falls. Phy... | Cardiology | Discharge Summary | high |
747 | 63 y/o F presenting to ED with fall from standing, R hip pain, unable to bear weight. Vitals: BP 142/78, HR 88, RR 16, O2 97%. X-ray pelvis: displaced R femoral neck fracture. Pre-op labs WNL. ECG: NSR. Dx: R femoral neck fracture. Pain management with IV morphine. NPO for OR. Ortho consult for hemiarthroplasty vs ORIF... | A 63-year-old woman came to the emergency room with fell from standing, severe right hip pain, unable to put weight on the right leg. Vital signs: blood pressure slightly high (pain), heart rate normal, breathing normal, oxygen normal. X-ray showed a broken hip bone (displaced femoral neck fracture) on the right side. ... | Emergency Medicine | Clinical Note | high |
748 | Rx: Tab ciprofloxacin 500mg BID x 5 days. Tab entresto 49/51mg BID. Tab metoprolol succinate 50mg daily. Tab hydroxychloroquine 200mg BID. Adv: low potassium diet. F/U 2 weeks with FBS, HbA1c, lipid panel, KFT. | Your medicines: (1) ciprofloxacin 500mg twice daily for 5 days [antibiotic — avoid dairy within 2 hours]. (2) Entresto 49/51mg twice daily [heart failure medicine]. (3) metoprolol 50mg once daily [heart rate and blood pressure medicine]. (4) hydroxychloroquine 200mg twice daily [immune-modulating medicine — eye exams n... | Cardiology | Prescription | high |
749 | Rx: Tab amlodipine 10mg daily. Tab entresto 49/51mg BID. Spiriva 18mcg daily. Tab levothyroxine 75mcg daily on empty stomach. Tab ciprofloxacin 500mg BID x 5 days. Adv: avoid alcohol, hepatotoxic drugs Adv: smoking cessation, pulmonary rehab. F/U INR in 3 days. | Your medicines: (1) amlodipine 10mg once daily [blood pressure medicine]. (2) Entresto 49/51mg twice daily [heart failure medicine]. (3) Spiriva inhaler once daily [long-acting lung medicine]. (4) levothyroxine 75mcg on empty stomach 30 min before breakfast [thyroid medicine]. (5) ciprofloxacin 500mg twice daily for 5 ... | Cardiology | Prescription | high |
750 | Rx: Tab acetaminophen 650mg Q6H PRN. Tab atorvastatin 40mg QHS. Tab Eliquis 5mg BID. Tab potassium chloride 20mEq daily. Adv: wound care with daily dressing changes Adv: SMBG BID, diabetic diet. F/U 2 weeks. | Your medicines: (1) Tylenol (acetaminophen) 650mg every 6 hours as needed [do not exceed 3000mg/day]. (2) atorvastatin 40mg at bedtime [cholesterol medicine]. (3) Eliquis 5mg twice daily [blood thinner]. (4) potassium supplement 20mEq once daily [replaces potassium lost from water pills]. Advice: change the wound dress... | General | Prescription | high |
751 | Latanoprost OU QHS; remove contacts before drops; punctal occlusion 1 min. | Glaucoma drops at bedtime in both eyes; remove contacts before use and gently press inner corners for one minute. | Ophthalmology | Medication Instruction | medium |
752 | Rx: Tab furosemide 40mg daily. Tab azithromycin 500mg day 1 then 250mg x 4 days. Do not stop abruptly, taper as directed Adv: avoid alcohol, hepatotoxic drugs. F/U INR in 3 days. | Your medicines: (1) furosemide (Lasix) 40mg once daily [water pill to remove extra fluid]. (2) azithromycin: 500mg on day 1, then 250mg for the next 4 days [antibiotic]. Do not suddenly stop this medicine — your doctor will gradually reduce the dose if needed Advice: do not drink alcohol and avoid medications that can ... | Cardiology | Prescription | medium |
753 | PATH: Shave bx: actinic keratosis, suggest sunscreen and dermatology follow-up. | Pathology results in plain language: Sun-damaged spot on skin — precancerous change. Protect skin from sun and follow with skin doctor. | Dermatology | Pathology Report | high |
754 | 84 y/o M with PMH of anxiety, CKD Stage 4, HFrEF (EF 30%), OSA on CPAP, OA, admitted for appendicitis. CT confirmed. Taken to OR for laparoscopic appendectomy. Managed per protocol with improvement. Compression stockings when ambulating. D/C on furosemide 40mg daily, potassium chloride 20mEq daily. F/U nephrology in 1 ... | A 84-year-old man with a history of anxiety, advanced kidney disease, heart failure with weak pumping (30%), sleep apnea [uses a breathing machine at night], and arthritis [osteoarthritis] was admitted for inflammation of the appendix. CT confirmed. Taken to OR for laparoscopic appendectomy. They were treated according... | General Surgery | Discharge Summary | high |
755 | 77 y/o M presenting to ED with acute onset SOB, unable to speak in full sentences. Vitals: BP 168/92, HR 118, RR 28, O2 85% on RA. CXR: bilateral pleural effusions, pulmonary edema. BNP 2400. Dx: Acute decompensated CHF. IV furosemide 80mg, BiPAP, nitroglycerin drip. Admit CCU. | A 77-year-old man came to the emergency room with sudden severe difficulty breathing, unable to finish sentences. Vital signs: blood pressure high, heart rate very fast, breathing very rapid, oxygen dangerously low at 85%. Chest X-ray showed fluid in both lungs. Heart failure blood test very high. Diagnosis: severe hea... | Emergency Medicine | Clinical Note | high |
756 | Rx: Tab calcium + vitamin D 600/400 daily. Tab tramadol 50mg Q6H PRN pain. Tab entresto 49/51mg BID. Tab lisinopril 10mg daily. Avoid grapefruit juice. F/U 2 weeks with INR. | Your medicines: (1) calcium plus vitamin D once daily [bone strengthening]. (2) tramadol 50mg every 6 hours as needed for pain [may cause drowsiness — max 4/day]. (3) Entresto 49/51mg twice daily [heart failure medicine]. (4) lisinopril 10mg once daily [blood pressure medicine that also protects kidneys]. Do not drink ... | Cardiology | Prescription | high |
757 | BMP: Na 131 (L), K 5.1 (H), BUN 25, Cr 1.6 (H), Glucose 206. | Your blood chemistry results: Sodium is low at 131 (normal 136-145), meaning too much water in your body. Potassium is high at 5.1 — needs monitoring. Creatinine is elevated at 1.6 (normal under 1.2), indicating your kidneys are not filtering well. Blood sugar is 206 (high). | Nephrology | Lab Result | high |
758 | Rx: Spiriva 18mcg daily. Tab potassium chloride 20mEq daily. Tab metformin 500mg BID. Tab metoprolol succinate 50mg daily. Tab Dulcolax 10mg QHS PRN. Adv: elevate affected limb, compression stockings. F/U PCP in 1 week for BP recheck. | Your medicines: (1) Spiriva inhaler once daily [long-acting lung medicine]. (2) potassium supplement 20mEq once daily [replaces potassium lost from water pills]. (3) metformin 500mg twice daily with meals [blood sugar medicine]. (4) metoprolol 50mg once daily [heart rate and blood pressure medicine]. (5) Dulcolax 10mg ... | General | Prescription | high |
759 | CBC: WBC 5.3 (N), Hgb 14.6 (N), Plt 202 (N). | Your blood count results: White blood cells are 5.3 (normal). Hemoglobin is normal at 14.6. Platelets are 202, which is normal. | Hematology | Lab Result | medium |
760 | Rx: Tab lisinopril 20mg daily. Tab warfarin 5mg daily. Adv: low potassium diet. F/U 1 week with wound check. | Your medicines: (1) lisinopril 20mg once daily [blood pressure medicine]. (2) warfarin 5mg once daily [blood thinner — requires regular INR blood tests]. Advice: avoid high-potassium foods like bananas, oranges, potatoes, and tomatoes. Come back in 1 week to have the wound checked. | Cardiology | Prescription | medium |
761 | Latanoprost OU QHS; remove contacts before drops; punctal occlusion 1 min. | Glaucoma drops at bedtime in both eyes; remove contacts before use and gently press inner corners for one minute. | Ophthalmology | Medication Instruction | low |
762 | Rx: Tab rosuvastatin 10mg QHS. Tab furosemide 40mg daily. Adv: wound care with daily dressing changes. F/U 4 weeks with TSH, Free T4. | Your medicines: (1) rosuvastatin 10mg at bedtime [cholesterol medicine]. (2) furosemide (Lasix) 40mg once daily [water pill to remove extra fluid]. Advice: change the wound dressing once daily — clean with saline, apply ointment, cover with fresh bandage. Come back in 4 weeks for thyroid blood tests [TSH and Free T4] t... | Cardiology | Prescription | medium |
763 | PATH: Colon: tubular adenoma with low-grade dysplasia, completely excised. | Pathology results in plain language: Colon polyp is a benign growth with mild abnormal cells, fully removed. | Oncology | Pathology Report | high |
764 | Warfarin 5mg PO daily. INR goal 2.0-3.0. Avoid major diet changes in vitamin K. Report bleeding. | Take warfarin daily. Blood tests keep clotting in a safe range. Keep vitamin K intake steady and call your doctor for unusual bleeding. | Hematology | Medication Instruction | high |
765 | Latanoprost OU QHS; remove contacts before drops; punctal occlusion 1 min. | Glaucoma drops at bedtime in both eyes; remove contacts before use and gently press inner corners for one minute. | Ophthalmology | Medication Instruction | medium |
766 | BMP: Na 125 (L), K 6.8 (H), BUN 13, Cr 7.5 (H), Glucose 301. | Your blood chemistry results: Sodium is low at 125 (normal 136-145), meaning too much water in your body. Potassium is dangerously high at 6.8 (normal 3.5-5.0) — this can affect your heart and needs immediate treatment. Creatinine is elevated at 7.5 (normal under 1.2), indicating your kidneys are not filtering well. Bl... | Nephrology | Lab Result | high |
767 | HbA1c: 8.7% (H). FBS: 312 mg/dL (H). | Your diabetes blood test results: HbA1c is 8.7%, which is high, meaning your blood sugar has been poorly controlled over the past 3 months (target is under 7%). Fasting blood sugar was 312, which is high (normal is 70-100). Your diabetes treatment needs to be changed. This level increases risk of complications. | Endocrinology | Lab Result | high |
768 | CXR PA: Right-sided pneumothorax. Hyperinflated lungs consistent with COPD. Cardiomegaly with CTR >0.5. Compression fracture T12. Right lower lobe consolidation. | Chest X-ray results: The right lung has partially collapsed due to air leaking into the chest cavity [pneumothorax]. The lungs appear over-inflated, which is typical of chronic lung disease [COPD/emphysema]. The heart appears larger than normal. There is a compression fracture [collapsed bone] in the lower spine at T12... | Pulmonology | Radiology Report | high |
769 | 64 y/o M presenting to ED with acute onset pleuritic CP, SOB, R calf swelling x 3 days. Vitals: BP 132/88, HR 112, RR 24, O2 91% on RA. D-dimer elevated. CTA chest: bilateral PE with RV strain. US R LE: popliteal DVT. Dx: Bilateral PE with DVT. Heparin drip started. Consider catheter-directed thrombolysis given RV stra... | A 64-year-old man came to the emergency room with sudden chest pain that worsens with breathing, shortness of breath, and right calf swelling for 3 days. Vital signs: blood pressure normal, heart rate fast, breathing rapid, oxygen low at 91%. A blood clot screening test was positive. CT scan confirmed blood clots in bo... | Emergency Medicine | Clinical Note | high |
770 | 33 y/o M with PMH of cirrhosis, seizure disorder on Keppra, admitted for atrial fibrillation with RVR. HR 150s. Diltiazem drip started for rate control. Managed per protocol with improvement. Strict I&O, daily weights. D/C on timolol 0.5% OU BID, Dulcolax 10mg QHS PRN, empagliflozin 10mg daily, omeprazole 20mg AC break... | A 33-year-old man with a history of liver scarring [cirrhosis], and seizure disorder [on Keppra] was admitted for irregular heartbeat with dangerously fast rate. HR 150s. Diltiazem drip started for rate control. They were treated according to standard guidelines and improved. Track how much you drink and urinate. Weigh... | Cardiology | Discharge Summary | high |
771 | CXR PA: Hyperinflated lungs consistent with COPD. Left lower lobe consolidation. Right lower lobe consolidation. | Chest X-ray results: The lungs appear over-inflated, which is typical of chronic lung disease [COPD/emphysema]. There is an area in the lower left lung that appears infected. There is an area in the lower right lung that appears infected, suggesting pneumonia. | Pulmonology | Radiology Report | high |
772 | Rx: albuterol MDI 2 puffs Q4-6H PRN. Humalog per SSI. Tab timolol 0.5% OU BID. Adv: high fiber diet, adequate hydration. F/U 2 weeks with FBS, HbA1c, lipid panel, KFT. | Your medicines: (1) albuterol inhaler 2 puffs every 4-6 hours as needed [rescue inhaler for breathing]. (2) Humalog insulin before meals as directed [fast-acting insulin]. (3) timolol eye drops in both eyes twice daily [lowers eye pressure for glaucoma]. Advice: eat plenty of fiber (fruits, vegetables, whole grains) an... | Pulmonology | Prescription | medium |
773 | Procedure: EGD with biopsy. Pt 56 y/o F. Consent obtained. Time-out performed. Procedure completed without immediate complication. Specimen/labs as indicated. Stable to PACU/floor. Post-op orders placed. | This note describes upper endoscopy with small tissue samples taken for a 56-year-old woman. Consent was reviewed, safety checks were done, and the procedure finished without immediate problems. The care team monitored recovery and placed routine post-procedure orders. | Gastroenterology | Procedure Note | high |
774 | Thyroid panel: TSH 12.72 (H), Free T4 0.4. | Your thyroid test results: TSH is elevated at 12.72 (normal 0.4-4.5), meaning your thyroid is underactive [hypothyroidism]. Free T4 is low — confirming the thyroid is not producing enough hormone. | Endocrinology | Lab Result | high |
775 | Rx: Tab tramadol 50mg Q6H PRN pain. Tab lisinopril 10mg daily. Adv: DASH diet, daily BP monitoring Adv: wound care with daily dressing changes. F/U 2 weeks. | Your medicines: (1) tramadol 50mg every 6 hours as needed for pain [may cause drowsiness — max 4/day]. (2) lisinopril 10mg once daily [blood pressure medicine that also protects kidneys]. Advice: follow the DASH diet (rich in fruits, vegetables, lean protein, low in salt) and check blood pressure at home daily Advice: ... | Cardiology | Prescription | medium |
776 | Escitalopram 10mg AM; effect builds over weeks; avoid abrupt alcohol use. | Antidepressant taken in the morning; benefits increase over several weeks; limit alcohol. | Psychiatry | Medication Instruction | high |
777 | PATH: Skin excision: melanoma in situ, Breslow not applicable, peripheral margins clear. | Pathology results in plain language: Early melanoma confined to the top skin layer, removed with clear edges. | Dermatology | Pathology Report | high |
778 | US Abdomen: Liver 18cm, diffusely echogenic consistent with hepatic steatosis. Spleen 11cm, normal. Left kidney 8cm, cortical thinning consistent with CKD. | Abdominal ultrasound results: The liver is slightly enlarged and appears brighter than normal, indicating fatty liver disease. The spleen is a normal size. Left kidney is small with thin outer layer, consistent with chronic kidney disease. | Gastroenterology | Radiology Report | high |
779 | 63 y/o M presenting to ED with worst headache of my life, acute onset 2hrs ago. Vitals: BP 172/94, HR 78, GCS 15. CT Head: negative. LP: xanthochromic CSF, RBC 11000. CTA: 5mm ACOM aneurysm. Dx: SAH secondary to ruptured aneurysm. Nimodipine started. Neurosurgery consulted. Transfer to neuro ICU. | A 63-year-old man came to the emergency room with the worst headache of his/her life, started suddenly 2 hours ago. Vital signs: blood pressure elevated, heart rate normal, fully alert. CT scan did not show bleeding. Spinal tap showed blood in spinal fluid confirming brain bleed. Blood vessel scan found a 5mm bulge [an... | Emergency Medicine | Clinical Note | high |
780 | 90 y/o M with PMH of h/o TIA, RA on MTX, CKD Stage 3, admitted for sepsis secondary to UTI. Blood cultures positive. Lactate elevated. Managed per protocol with improvement. Fall precautions, PT/OT consult. D/C on gabapentin 300mg TID, ciprofloxacin 500mg BID x 5 days, lisinopril 20mg daily, Eliquis 5mg BID. F/U cardio... | A 90-year-old man with a history of history of mini-stroke, rheumatoid arthritis [on immune-suppressing medicine], and moderate kidney disease was admitted for a serious blood infection from a urinary tract infection. Blood test showed bacteria in the blood. A marker of infection severity was high. They were treated ac... | Infectious Disease | Discharge Summary | high |
781 | 44 y/o M with PMH of DM1, gout, OA, s/p TKR, asthma, admitted for pneumonia. CXR confirmed infiltrate. Started on IV antibiotics. Managed per protocol with improvement. Fall precautions, PT/OT consult. D/C on amoxicillin 500mg TID x 10 days, furosemide 40mg daily, metoprolol 25mg BID. F/U neurology in 2 weeks. | A 44-year-old man with a history of type 1 diabetes, gout, arthritis [osteoarthritis], prior knee replacement, and asthma was admitted for a lung infection. CXR confirmed infiltrate. Started on IV antibiotics. They were treated according to standard guidelines and improved. Be careful to prevent falls. Physical therapy... | Pulmonology | Discharge Summary | high |
782 | Rx: Lantus 20U QHS. Tab metformin 500mg BID. Tab glipizide 5mg BID AC. Tab ciprofloxacin 500mg BID x 5 days. Tab azithromycin 500mg day 1 then 250mg x 4 days. Avoid NSAIDs Adv: weight bearing exercise, calcium/vit D supplementation. F/U 1 week with CBC, CMP. | Your medicines: (1) Lantus insulin 20 units at bedtime [long-acting insulin]. (2) metformin 500mg twice daily with meals [blood sugar medicine]. (3) glipizide 5mg twice daily before meals [helps release insulin]. (4) ciprofloxacin 500mg twice daily for 5 days [antibiotic — avoid dairy within 2 hours]. (5) azithromycin:... | Endocrinology | Prescription | high |
783 | Procedure: Colonoscopy with polypectomy. Pt 62 y/o F. Consent obtained. Time-out performed. Procedure completed without immediate complication. Specimen/labs as indicated. Stable to PACU/floor. Post-op orders placed. | This note describes colon exam with removal of polyps for a 62-year-old woman. Consent was reviewed, safety checks were done, and the procedure finished without immediate problems. The care team monitored recovery and placed routine post-procedure orders. | Gastroenterology | Procedure Note | high |
784 | 55 y/o F with PMH of hypothyroidism, OSA on CPAP, CHF, admitted for small bowel obstruction. CT showed dilated loops of bowel with transition point. Managed per protocol with improvement. Daily weights, 1.5L fluid restriction, low sodium diet. D/C on ibuprofen 400mg Q6H PRN with food, amlodipine 10mg daily, omeprazole ... | A 55-year-old woman with a history of underactive thyroid, sleep apnea [uses a breathing machine at night], and heart failure was admitted for a blockage in the small intestine. CT scan showed dilated loops of bowel with transition point. They were treated according to standard guidelines and improved. Weigh yourself e... | General Surgery | Discharge Summary | high |
785 | 53 y/o F presenting to ED with acute onset pleuritic CP, SOB, R calf swelling x 3 days. Vitals: BP 132/88, HR 112, RR 24, O2 91% on RA. D-dimer elevated. CTA chest: bilateral PE with RV strain. US R LE: popliteal DVT. Dx: Bilateral PE with DVT. Heparin drip started. Consider catheter-directed thrombolysis given RV stra... | A 53-year-old woman came to the emergency room with sudden chest pain that worsens with breathing, shortness of breath, and right calf swelling for 3 days. Vital signs: blood pressure normal, heart rate fast, breathing rapid, oxygen low at 91%. A blood clot screening test was positive. CT scan confirmed blood clots in ... | Emergency Medicine | Clinical Note | high |
786 | Delivery Note: G?P? at 39+1 weeks. Primary low-transverse C-section. Live female infant. APGAR 8/9. EBL within expected limits. Mother stable. | Birth summary: pregnancy reached about 39+1 weeks gestation. The baby was delivered by C-section through a low horizontal cut on the uterus. The newborn is a healthy female. APGAR scores were 8/9. Bleeding was normal. Mother did well after delivery. | Obstetrics | Delivery Note | high |
787 | Rx: Tab calcium + vitamin D 600/400 daily. Tab metformin 1000mg BID. Tab rosuvastatin 10mg QHS. albuterol MDI 2 puffs Q4-6H PRN. Adv: high fiber diet, adequate hydration. F/U 2 weeks with FBS, HbA1c, lipid panel, KFT. | Your medicines: (1) calcium plus vitamin D once daily [bone strengthening]. (2) metformin 1000mg twice daily with meals [blood sugar medicine]. (3) rosuvastatin 10mg at bedtime [cholesterol medicine]. (4) albuterol inhaler 2 puffs every 4-6 hours as needed [rescue inhaler for breathing]. Advice: eat plenty of fiber (fr... | Pediatrics | Prescription | high |
788 | 33 y/o F presenting to ED with severe epigastric pain radiating to back, N/V x 6hrs. Vitals: BP 138/82, HR 108, RR 20, T 100.4F. Lipase 1800 (H). CT abdomen: peripancreatic fat stranding, no necrosis. Dx: Acute pancreatitis. NPO, aggressive IVF, IV morphine, IV pantoprazole. Admit medicine. | A 33-year-old woman came to the emergency room with severe upper belly pain shooting to the back with nausea and vomiting for 6 hours. Vital signs: blood pressure normal, heart rate fast, mild fever. Pancreas enzyme very high. CT scan showed severe pancreas inflammation but no dead tissue. Diagnosis: severe inflammatio... | Emergency Medicine | Clinical Note | high |
789 | Procedure: TURP for BPH. Pt 76 y/o M. Consent obtained. Time-out performed. Procedure completed without immediate complication. Specimen/labs as indicated. Stable to PACU/floor. Post-op orders placed. | This note describes scope surgery to trim enlarged prostate tissue for a 76-year-old man. Consent was reviewed, safety checks were done, and the procedure finished without immediate problems. The care team monitored recovery and placed routine post-procedure orders. | Urology | Procedure Note | high |
790 | MRI Lumbar Spine: Central canal stenosis at L3-L4. Conus medullaris at L1, normal. L5-S1 disc desiccation with mild bulge. | MRI of the lower back results: The spinal canal is narrowed at L3-L4, which may be pressing on the nerves. The spinal cord ends at a normal level. At the L5-S1 level, the disc is dried out [worn] with a slight bulge, but not causing significant pressure. | Orthopedics | Radiology Report | high |
791 | Escitalopram 10mg AM; effect builds over weeks; avoid abrupt alcohol use. | Antidepressant taken in the morning; benefits increase over several weeks; limit alcohol. | Psychiatry | Medication Instruction | medium |
792 | US Abdomen: CBD 12mm, dilated. Ascites moderate amount. Liver 18cm, diffusely echogenic consistent with hepatic steatosis. CBD 5mm, not dilated. Right kidney 10.5cm, no hydronephrosis. Left kidney 8cm, cortical thinning consistent with CKD. | Abdominal ultrasound results: The bile duct is wider than normal [dilated], which may indicate a blockage. There is a moderate amount of fluid in the belly [ascites]. The liver is slightly enlarged and appears brighter than normal, indicating fatty liver disease. The bile duct is normal size [not blocked]. Right kidney... | Gastroenterology | Radiology Report | high |
793 | 76 y/o F with PMH of A-fib, s/p TKR, admitted for STEMI. ECG showed ST elevation. Troponin markedly elevated. Managed per protocol with improvement. Blood sugar log, bring to next appointment. D/C on warfarin 5mg daily, empagliflozin 10mg daily. F/U INR check in 3 days. | A 76-year-old woman with a history of irregular heartbeat [atrial fibrillation], and prior knee replacement was admitted for a serious heart attack requiring emergency treatment. ECG showed ST elevation. Troponin markedly elevated. They were treated according to standard guidelines and improved. Write down your blood s... | Cardiology | Discharge Summary | high |
794 | BMP: Na 125 (L), K 3.2 (L), BUN 51, Cr 6.9 (H), Glucose 136. | Your blood chemistry results: Sodium is low at 125 (normal 136-145), meaning too much water in your body. Potassium is low at 3.2 — may cause muscle weakness and heart rhythm issues. Creatinine is elevated at 6.9 (normal under 1.2), indicating your kidneys are not filtering well. Blood sugar is 136 (high). | Nephrology | Lab Result | high |
795 | CXR PA: Osseous structures intact. Elevated left hemidiaphragm. Clear lung fields bilaterally. ET tube 3cm above carina. | Chest X-ray results: The bones look normal with no fractures. The left side of the breathing muscle [diaphragm] is sitting higher than normal. Both lungs look clear with no problems. The breathing tube is in good position. | Pulmonology | Radiology Report | high |
796 | 85 y/o M presenting to ED with sudden onset R-sided weakness, facial droop, slurred speech x 45 min. Vitals: BP 188/102, HR 88, RR 16, O2 97%. CT Head: no hemorrhage. CTA: L MCA occlusion. NIHSS 14. Dx: Acute ischemic stroke, L MCA territory. tPA administered (within 3hr window). Thrombectomy team activated. Admit stro... | A 85-year-old man came to the emergency room with sudden right-sided weakness, face drooping on one side, and slurred speech for 45 minutes. Vital signs: blood pressure very high, heart rate normal, breathing normal, oxygen normal. CT scan ruled out bleeding. Blood vessel scan showed a blocked artery on the left side o... | Emergency Medicine | Clinical Note | high |
797 | 40 y/o M presenting to ED with acute onset SOB, unable to speak in full sentences. Vitals: BP 168/92, HR 118, RR 28, O2 85% on RA. CXR: bilateral pleural effusions, pulmonary edema. BNP 2400. Dx: Acute decompensated CHF. IV furosemide 80mg, BiPAP, nitroglycerin drip. Admit CCU. | A 40-year-old man came to the emergency room with sudden severe difficulty breathing, unable to finish sentences. Vital signs: blood pressure high, heart rate very fast, breathing very rapid, oxygen dangerously low at 85%. Chest X-ray showed fluid in both lungs. Heart failure blood test very high. Diagnosis: severe hea... | Emergency Medicine | Clinical Note | high |
798 | PATH: LN bx: reactive lymphoid hyperplasia, no evidence of lymphoma. | Pathology results in plain language: Lymph node sample shows reactive swelling from infection/inflammation, not lymphoma. | Hematology | Pathology Report | high |
799 | 48 y/o M with PMH of CHF, ESRD on HD, anxiety, OSA on CPAP, admitted for DVT. Ultrasound confirmed DVT. Anticoagulation started. Managed per protocol with improvement. Fall precautions, PT/OT consult. D/C on metformin 500mg BID, metoprolol 25mg BID. F/U orthopedics in 6 weeks with X-ray. | A 48-year-old man with a history of heart failure, kidney failure requiring dialysis, anxiety, and sleep apnea [uses a breathing machine at night] was admitted for a blood clot in the leg [deep vein thrombosis]. Ultrasound confirmed DVT. Anticoagulation started. They were treated according to standard guidelines and im... | Hematology | Discharge Summary | high |
800 | Rx: Tab methotrexate 15mg weekly. Tab amlodipine 5mg daily. Tab losartan 50mg daily. Adv: wound care with daily dressing changes. F/U 2 weeks with FBS, HbA1c, lipid panel, KFT. | Your medicines: (1) methotrexate 15mg once weekly [immune-suppressing medicine for arthritis — requires monitoring]. (2) amlodipine 5mg once daily [blood pressure medicine]. (3) losartan 50mg once daily [blood pressure medicine]. Advice: change the wound dressing once daily — clean with saline, apply ointment, cover wi... | Cardiology | Prescription | medium |
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