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So no evidence of clubbing، افتحهم هيك، looking as well for any stigmata of infective endocarditis like genway lesions or osler nodes, looking for any splinter hemorrhages, nothing there, on the other hand as well and also we look for any peripheral cyanosis or xanthomata, all are absent", "tokens": [2304, 2304, 2655, 31377, 13, 407, 572, 4467, 295, 6482, 4324, 12399, 1975, 5172, 2655, 5016, 16095, 39896, 4117, 12399, 1237, 382, 731, 337, 604, 342, 20181, 3274, 295, 5888, 488, 917, 905, 515, 16074, 411, 1049, 676, 1512, 626, 420, 3003, 1918, 13891, 11, 1237, 337, 604, 4732, 5106, 8636, 24362, 71, 1660, 11, 1825, 456, 11, 322, 264, 661, 1011, 382, 731, 293, 611, 321, 574, 337, 604, 40235, 47463, 8211, 420, 2031, 282, 392, 298, 3274, 11, 439, 366, 25185], "avg_logprob": -0.26953123616320745, "compression_ratio": 1.4532710280373833, "no_speech_prob": 0.0, "words": [{"start": 134.42, "end": 135.0, "word": "ممتاز.", "probability": 0.85693359375}, {"start": 135.36, "end": 135.48, "word": " 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27986, "start": 257.24, "end": 279.86, "text": "عندك أي واجع في كتفك يا راغب؟ شكرا after asking the patient about any pain we put the thumb of the other hand on the brachial artery and suddenly elevate the hand significantly and looking for any collapsing character of the pulsation so it is negative in this patient", "tokens": [3615, 41260, 4117, 36632, 4032, 26108, 3615, 8978, 9122, 2655, 5172, 4117, 35186, 12602, 5718, 118, 3555, 22807, 13412, 4117, 23557, 934, 3365, 264, 4537, 466, 604, 1822, 321, 829, 264, 9298, 295, 264, 661, 1011, 322, 264, 738, 608, 831, 38520, 293, 5800, 33054, 264, 1011, 10591, 293, 1237, 337, 604, 45339, 2517, 295, 264, 32295, 399, 370, 309, 307, 3671, 294, 341, 4537], "avg_logprob": -0.18122632733800195, "compression_ratio": 1.4251207729468598, "no_speech_prob": 0.0, "words": [{"start": 257.24, "end": 257.96, "word": "عندك", "probability": 0.6986490885416666}, {"start": 257.96, "end": 258.08, "word": " أي", "probability": 0.7734375}, {"start": 258.08, "end": 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الرجل", "probability": 0.66943359375}, {"start": 601.47, "end": 603.41, "word": " والخير", "probability": 0.3689778645833333}, {"start": 603.41, "end": 603.57, "word": " الأخير", "probability": 0.86474609375}, {"start": 603.57, "end": 603.87, "word": " في", "probability": 0.87744140625}, {"start": 603.87, "end": 604.17, "word": " التسلسل", "probability": 0.443817138671875}, {"start": 604.17, "end": 604.71, "word": " هي", "probability": 0.36572265625}, {"start": 604.71, "end": 605.03, "word": " الـ", "probability": 0.1580810546875}, {"start": 605.03, "end": 605.81, "word": " Parasternal", "probability": 0.85302734375}, {"start": 605.81, "end": 606.07, "word": " Heave", "probability": 0.808349609375}, {"start": 606.07, "end": 606.75, "word": " تحقق", "probability": 0.457794189453125}, {"start": 606.75, "end": 606.91, "word": " ال", "probability": 0.313720703125}, {"start": 606.91, "end": 607.33, "word": " Parasternal", "probability": 0.7371012369791666}, {"start": 607.33, "end": 607.77, "word": " Heave", "probability": 0.94580078125}, {"start": 607.77, "end": 608.37, "word": " هو", "probability": 0.21484375}, {"start": 608.37, "end": 609.31, "word": " تطبيق", "probability": 0.45947265625}, {"start": 609.31, "end": 609.87, "word": " اليد", "probability": 0.28790283203125}, {"start": 609.87, "end": 610.95, "word": " مرتبطًا", "probability": 0.57806396484375}, {"start": 610.95, "end": 611.43, "word": " على", "probability": 0.47509765625}, {"start": 611.43, "end": 611.59, "word": " الجانب", "probability": 0.4093424479166667}, {"start": 611.59, "end": 611.93, "word": " الأسفل", "probability": 0.5635986328125}, {"start": 611.93, "end": 612.55, "word": " والجانب", "probability": 0.417388916015625}, {"start": 612.55, "end": 612.57, "word": " الأسفل", "probability": 0.64056396484375}, {"start": 612.57, "end": 613.59, "word": " و", "probability": 0.325927734375}, {"start": 613.59, "end": 614.19, "word": " تضغط", "probability": 0.67852783203125}, {"start": 614.19, "end": 614.89, "word": " قليلًا", "probability": 0.6893310546875}, {"start": 614.89, "end": 616.61, "word": " تحقق", "probability": 0.6905517578125}, {"start": 616.61, "end": 617.15, "word": " لأي", "probability": 0.5679931640625}, {"start": 617.15, "end": 618.41, "word": " قوة", "probability": 0.769287109375}, {"start": 618.41, "end": 619.55, "word": " تتحرك", "probability": 0.6600341796875}, {"start": 619.55, "end": 619.83, "word": " أو", "probability": 0.93408203125}, {"start": 619.83, "end": 620.21, "word": " ترفع", "probability": 0.6776529947916666}, {"start": 620.21, "end": 621.47, "word": " يدينا", "probability": 0.7462565104166666}, {"start": 621.47, "end": 621.93, "word": " إلى", "probability": 0.0955810546875}, {"start": 621.93, "end": 622.01, "word": " الأعلى", "probability": 0.8460286458333334}, {"start": 622.01, "end": 622.57, "word": " لا", "probability": 0.296142578125}, {"start": 622.57, "end": 622.71, "word": " يوجد", "probability": 0.87158203125}, {"start": 622.71, "end": 623.63, "word": " أيضًا", "probability": 0.874267578125}, {"start": 623.63, "end": 624.73, "word": " Parasternal", "probability": 0.93603515625}, {"start": 624.73, "end": 625.09, "word": " Heave", "probability": 0.957275390625}, {"start": 625.09, "end": 625.31, "word": " في", "probability": 0.95166015625}, {"start": 625.31, "end": 625.85, "word": " هذا", "probability": 0.7421875}, {"start": 625.85, "end": 626.43, "word": " الشخص", "probability": 0.5963541666666666}], "temperature": 1.0}, {"id": 26, "seek": 65104, "start": 631.98, "end": 651.04, "text": "و بعد ذلك نتحرك لـ auscultation باستخدام الستيثيوسكوب نستخدم كلا الديافرام و البيلد في التجارب بداية من ال apex", "tokens": [2407, 39182, 29910, 23275, 8717, 2655, 5016, 31747, 5296, 39184, 3437, 66, 723, 399, 4724, 995, 14851, 9778, 3215, 10943, 2423, 14851, 1829, 12984, 1829, 41779, 4117, 37746, 8717, 14851, 9778, 40448, 9122, 15040, 2423, 16254, 31845, 2288, 10943, 4032, 2423, 21292, 1211, 3215, 8978, 16712, 7435, 9640, 3555, 4724, 28259, 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"end": 643.22, "word": " الديافرام", "probability": 0.70986328125}, {"start": 643.22, "end": 643.5, "word": " و", "probability": 0.64599609375}, {"start": 643.5, "end": 644.36, "word": " البيلد", "probability": 0.457000732421875}, {"start": 644.36, "end": 644.48, "word": " في", "probability": 0.841796875}, {"start": 644.48, "end": 645.38, "word": " التجارب", "probability": 0.6046142578125}, {"start": 645.38, "end": 650.5, "word": " بداية", "probability": 0.3838704427083333}, {"start": 650.5, "end": 650.64, "word": " من", "probability": 0.256103515625}, {"start": 650.64, "end": 650.7, "word": " ال", "probability": 0.6064453125}, {"start": 650.7, "end": 651.04, "word": " apex", "probability": 0.23779296875}], "temperature": 1.0}, {"id": 27, "seek": 68359, "start": 662.21, "end": 683.59, "text": "ثم المنطقة الأربعية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوستالية الانترقوست", "tokens": [12984, 2304, 9673, 1863, 9566, 28671, 16247, 25513, 3615, 10632, 2423, 7649, 2655, 2288, 4587, 2407, 14851, 6027, 10632, 2423, 7649, 2655, 2288, 4587, 2407, 14851, 6027, 10632, 2423, 7649, 2655, 2288, 4587, 2407, 14851, 6027, 10632, 2423, 7649, 2655, 2288, 4587, 2407, 14851, 6027, 10632, 2423, 7649, 2655, 2288, 4587, 2407, 14851, 6027, 10632, 2423, 7649, 2655, 2288, 4587, 2407, 14851, 6027, 10632, 2423, 7649, 2655, 2288, 4587, 2407, 14851, 6027, 10632, 2423, 7649, 2655, 2288, 4587, 2407, 14851, 6027, 10632, 2423, 7649, 2655, 2288, 4587, 2407, 14851, 6027, 10632, 2423, 7649, 2655, 2288, 4587, 2407, 14851, 6027, 10632, 2423, 7649, 2655, 2288, 4587, 2407, 14851, 6027, 10632, 2423, 7649, 2655, 2288, 4587, 2407, 14851, 6027, 10632, 2423, 7649, 2655, 2288, 4587, 2407, 14851, 6027, 10632, 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665.45, "word": " الانترقوستالية", "probability": 0.6201578776041666}, {"start": 665.45, "end": 665.55, "word": " الانترقوستالية", "probability": 0.6893310546875}, {"start": 665.55, "end": 665.61, "word": " الانترقوستالية", "probability": 0.8184678819444444}, {"start": 665.61, "end": 665.63, "word": " الانترقوستالية", "probability": 0.8689507378472222}, {"start": 665.63, "end": 665.71, "word": " الانترقوستالية", "probability": 0.8962944878472222}, {"start": 665.71, "end": 665.81, "word": " الانترقوستالية", "probability": 0.9178602430555556}, {"start": 665.81, "end": 666.35, "word": " الانترقوستالية", "probability": 0.9357638888888888}, {"start": 666.35, "end": 666.45, "word": " الانترقوستالية", "probability": 0.9500868055555556}, {"start": 666.45, "end": 668.05, "word": " الانترقوستالية", "probability": 0.9626736111111112}, {"start": 668.05, "end": 669.27, "word": " الانترقوستالية", "probability": 0.9707573784722222}, {"start": 669.27, "end": 670.65, "word": " الانترقوستالية", 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675.95, "end": 678.97, "word": " الانترقوستالية", "probability": 0.99267578125}, {"start": 678.97, "end": 681.51, "word": " الانترقوستالية", "probability": 0.9928385416666666}, {"start": 681.51, "end": 683.59, "word": " الانترقوست", "probability": 0.9917689732142857}], "temperature": 1.0}, {"id": 28, "seek": 70979, "start": 690.27, "end": 709.79, "text": "مرة أخرى نقوم باستخدام الـ bell و ليس الديافرام و نبحث عن أي شوية مثل الـ auxiliary radiation", "tokens": [2304, 25720, 5551, 34740, 7578, 8717, 4587, 20498, 4724, 995, 14851, 9778, 3215, 10943, 2423, 39184, 4549, 4032, 32239, 3794, 2423, 16254, 31845, 2288, 10943, 4032, 8717, 49628, 12984, 18871, 36632, 13412, 2407, 10632, 50113, 1211, 2423, 39184, 43741, 12420], "avg_logprob": -0.6753048664186059, "compression_ratio": 1.1666666666666667, "no_speech_prob": 0.0, "words": [{"start": 690.27, "end": 690.73, "word": "مرة", "probability": 0.2308349609375}, {"start": 690.73, "end": 690.73, "word": " أخرى", "probability": 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موقع اليسار اللاترالي. ممكن تروح على يسارك لو سمحت؟ أيوة، كمان شوية، وارفع إيدك هادي لفوق، أيوة ممتاز، مية مية", "tokens": [3555, 22488, 29910, 23275, 8717, 14851, 9566, 40228, 14739, 8717, 9566, 46152, 9154, 9673, 16572, 11242, 12399, 4724, 995, 34268, 3555, 9640, 16247, 7435, 2655, 15042, 3615, 9307, 12399, 11933, 15730, 49610, 3215, 8315, 5551, 7435, 2655, 15042, 3615, 5551, 3794, 4117, 1211, 2655, 9307, 13063, 1829, 6225, 6027, 1829, 9154, 3714, 36081, 2288, 6027, 1829, 14851, 9957, 2407, 11622, 25528, 12399, 15844, 8608, 21292, 1211, 9673, 12984, 6027, 12399, 8717, 9566, 46152, 9154, 3224, 14739, 7251, 24192, 3555, 30731, 3714, 30543, 3615, 45595, 3794, 9640, 13672, 9307, 2288, 6027, 1829, 13, 3714, 43020, 6055, 32887, 5016, 15844, 7251, 3794, 9640, 4117, 45164, 8608, 2304, 33753, 22807, 36632, 2407, 3660, 12399, 9122, 2304, 7649, 13412, 2407, 10632, 12399, 4032, 9640, 5172, 3615, 11933, 25708, 4117, 8032, 995, 16254, 5296, 5172, 30543, 12399, 36632, 2407, 3660, 3714, 2304, 2655, 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"end": 745.28, "word": " وجدنا", "probability": 0.785400390625}, {"start": 745.28, "end": 747.18, "word": " أجتماع", "probability": 0.6424072265625}, {"start": 747.18, "end": 749.16, "word": " أسكلتاتوري", "probability": 0.678955078125}, {"start": 749.16, "end": 749.72, "word": " عالي", "probability": 0.2717081705729167}, {"start": 749.72, "end": 750.4, "word": " من", "probability": 0.46337890625}, {"start": 750.4, "end": 751.54, "word": " ميتراليستينوزيا،", "probability": 0.5314164595170454}, {"start": 751.54, "end": 751.62, "word": " على", "probability": 0.3544921875}, {"start": 751.62, "end": 751.96, "word": " سبيل", "probability": 0.9265950520833334}, {"start": 751.96, "end": 752.5, "word": " المثال،", "probability": 0.8853759765625}, {"start": 752.5, "end": 752.82, "word": " نطلب", "probability": 0.8763020833333334}, {"start": 752.82, "end": 752.96, "word": " منه", "probability": 0.9208984375}, {"start": 752.96, "end": 753.14, "word": " أن", "probability": 0.771484375}, {"start": 753.14, "end": 753.3, "word": " يذهب", "probability": 0.8448893229166666}, {"start": 753.3, "end": 753.5, "word": " إلى", "probability": 0.56689453125}, {"start": 753.5, "end": 753.64, "word": " موقع", "probability": 0.3828125}, {"start": 753.64, "end": 753.82, "word": " اليسار", "probability": 0.65032958984375}, {"start": 753.82, "end": 754.72, "word": " اللاترالي.", "probability": 0.6336669921875}, {"start": 755.42, "end": 755.78, "word": " ممكن", "probability": 0.90087890625}, {"start": 755.78, "end": 756.32, "word": " تروح", "probability": 0.95556640625}, {"start": 756.32, "end": 756.46, "word": " على", "probability": 0.7861328125}, {"start": 756.46, "end": 756.9, "word": " يسارك", "probability": 0.9556884765625}, {"start": 756.9, "end": 757.02, "word": " لو", "probability": 0.8623046875}, {"start": 757.02, "end": 758.1, "word": " سمحت؟", "probability": 0.84576416015625}, {"start": 758.1, "end": 758.62, "word": " أيوة،", "probability": 0.765380859375}, {"start": 758.62, "end": 758.9, "word": " كمان", "probability": 0.8689778645833334}, {"start": 758.9, "end": 759.8, "word": " شوية،", "probability": 0.8822021484375}, {"start": 759.8, "end": 760.08, "word": " وارفع", "probability": 0.84765625}, {"start": 760.08, "end": 760.38, "word": " إيدك", "probability": 0.7469075520833334}, {"start": 760.38, "end": 760.6, "word": " هادي", "probability": 0.61328125}, {"start": 760.6, "end": 761.28, "word": " لفوق،", "probability": 0.8516845703125}, {"start": 761.28, "end": 761.66, "word": " أيوة", "probability": 0.792236328125}, {"start": 761.66, "end": 762.58, "word": " ممتاز،", "probability": 0.804052734375}, {"start": 762.58, "end": 762.82, "word": " مية", "probability": 0.6400146484375}, {"start": 762.82, "end": 763.1, "word": " مية", "probability": 0.5909423828125}], "temperature": 1.0}, {"id": 31, "seek": 76903, "start": 767.49, "end": 769.03, "text": "معلش تروح كمان؟ أيوة خلاص", "tokens": [2304, 30241, 8592, 6055, 32887, 5016, 9122, 2304, 7649, 22807, 36632, 2407, 3660, 16490, 1211, 33546], "avg_logprob": -0.11632582720588236, "compression_ratio": 0.8363636363636363, "no_speech_prob": 0.0, "words": [{"start": 767.49, "end": 767.95, "word": "معلش", "probability": 0.81982421875}, {"start": 767.95, "end": 768.15, "word": " تروح", "probability": 0.99658203125}, {"start": 768.15, "end": 768.55, "word": " كمان؟", "probability": 0.9288330078125}, {"start": 768.55, "end": 768.71, "word": " أيوة", "probability": 0.84130859375}, {"start": 768.71, "end": 769.03, "word": " خلاص", "probability": 0.9182942708333334}], "temperature": 1.0}, {"id": 32, "seek": 80719, "start": 777.85, "end": 807.19, "text": "تمام اقعد أحيالك تاني طيب بديك تقعد أحيالك من فضلك يا راغب أيوة after that we ask the patient to sit up forward and we teach him how to hold his breathing بديك تاخد نفس و بعدين تطلعه على الآخر و توقف لما أطلب منك تمام؟ خد نفس طلعه على الآخر طلعه لبره لبره ووقف جدّم لقدام شوية", "tokens": [39237, 10943, 1975, 4587, 22488, 5551, 5016, 1829, 6027, 4117, 6055, 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{"start": 795.47, "end": 796.07, "word": " الآخر", "probability": 0.8543294270833334}, {"start": 796.07, "end": 796.23, "word": " و", "probability": 0.9052734375}, {"start": 796.23, "end": 796.59, "word": " توقف", "probability": 0.869140625}, {"start": 796.59, "end": 796.75, "word": " لما", "probability": 0.88623046875}, {"start": 796.75, "end": 797.01, "word": " أطلب", "probability": 0.88232421875}, {"start": 797.01, "end": 797.29, "word": " منك", "probability": 0.9892578125}, {"start": 797.29, "end": 801.41, "word": " تمام؟", "probability": 0.8859049479166666}, {"start": 801.41, "end": 801.69, "word": " خد", "probability": 0.847412109375}, {"start": 801.69, "end": 802.09, "word": " نفس", "probability": 0.991455078125}, {"start": 802.09, "end": 803.31, "word": " طلعه", "probability": 0.9161376953125}, {"start": 803.31, "end": 803.45, "word": " على", "probability": 0.9501953125}, {"start": 803.45, "end": 803.85, "word": " الآخر", "probability": 0.9851888020833334}, {"start": 803.85, "end": 804.21, "word": " طلعه", "probability": 0.95556640625}, {"start": 804.21, "end": 804.57, "word": " لبره", "probability": 0.7654622395833334}, {"start": 804.57, "end": 805.13, "word": " لبره", "probability": 0.9560546875}, {"start": 805.13, "end": 805.85, "word": " ووقف", "probability": 0.85400390625}, {"start": 805.85, "end": 806.43, "word": " جدّم", "probability": 0.7755126953125}, {"start": 806.43, "end": 806.83, "word": " لقدام", "probability": 0.9051106770833334}, {"start": 806.83, "end": 807.19, "word": " شوية", "probability": 0.87158203125}], "temperature": 1.0}, {"id": 33, "seek": 82480, "start": 812.9, "end": 824.8, "text": "تمام شكرا جزيلا and this is special to detect any aortic regurgitant murmur which can be detected easier by this maneuver", "tokens": [39237, 10943, 13412, 4117, 23557, 10874, 11622, 1829, 15040, 293, 341, 307, 2121, 281, 5531, 604, 257, 48816, 1121, 5476, 270, 394, 39729, 374, 597, 393, 312, 21896, 3571, 538, 341, 25976], "avg_logprob": -0.09812973484848485, "compression_ratio": 1.1355932203389831, "no_speech_prob": 0.0, "words": [{"start": 812.9, "end": 813.66, "word": "تمام", "probability": 0.90087890625}, {"start": 813.66, "end": 814.4, "word": " شكرا", "probability": 0.84521484375}, {"start": 814.4, "end": 814.82, "word": " جزيلا", "probability": 0.9542236328125}, {"start": 814.82, "end": 815.64, "word": " and", "probability": 0.61962890625}, {"start": 815.64, "end": 815.84, "word": " this", "probability": 0.97119140625}, {"start": 815.84, "end": 816.0, "word": " is", "probability": 0.966796875}, {"start": 816.0, "end": 816.48, "word": " special", "probability": 0.640625}, {"start": 816.48, "end": 816.98, "word": " to", "probability": 0.98046875}, {"start": 816.98, "end": 817.36, "word": " detect", "probability": 0.9716796875}, {"start": 817.36, "end": 817.74, "word": " any", "probability": 0.9326171875}, {"start": 817.74, "end": 818.36, "word": " aortic", "probability": 0.778076171875}, {"start": 818.36, "end": 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we look for any evidence of sacral edema especially in patients with suspected heart failure or congestive heart failure there is nothing and we auscultate at the lung bases to check for any crepitations خد نفس و طلعه", "tokens": [3555, 22488, 11933, 8848, 1863, 4117, 4724, 3794, 4724, 16254, 8717, 5172, 5016, 9381, 11778, 3224, 31747, 370, 1237, 412, 264, 646, 264, 1326, 721, 300, 321, 17496, 490, 264, 646, 4090, 264, 4899, 2155, 1257, 5619, 321, 574, 337, 604, 4467, 295, 4899, 2155, 1257, 5619, 2318, 294, 4209, 365, 26439, 1917, 7763, 420, 31871, 488, 1917, 7763, 456, 307, 1825, 293, 321, 3437, 66, 723, 473, 412, 264, 16730, 17949, 281, 1520, 337, 604, 1197, 20144, 763, 16490, 3215, 8717, 36178, 4032, 23032, 1211, 3615, 3224], "avg_logprob": -0.1329880684949039, "compression_ratio": 1.5313807531380754, "no_speech_prob": 0.0, "words": [{"start": 845.86, "end": 846.2, "word": "بعد", "probability": 0.986572265625}, {"start": 846.2, "end": 846.48, "word": " إذنك", "probability": 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\ No newline at end of file