| { | |
| "Bacterial Pneumonia$Intermedia_4": { | |
| "Haemophilus influenzae is a common bacterium that can cause lower respiratory tract infections, including pneumonia.$Cause_1": { | |
| "Multiple organisms consistent with Haemophilus influenzae.$Input6": {} | |
| }, | |
| "Pneumonia$Intermedia_3": { | |
| "Pulmonary infiltrates usually indicate inflammation or infection in the lungs and are a typical radiographic finding of pneumonia$Cause_1": { | |
| "CXR which showing infiltrates$Input2": {} | |
| }, | |
| "Chest X-ray showed persistent opacity of the right middle lobe (RML), which may indicate the presence of localized lung infection or inflammation, consistent with the diagnosis of pneumonia.$Cause_1": { | |
| "CXR showed persistent RML opacity c/wpna$Input2": {} | |
| }, | |
| "Pneumonia will often show up on X-ray images as opaque areas of the lungs, indicating possible infection$Cause_1": { | |
| "There is persistent subtle opacity in the lateral segment of the RML$Input6": {} | |
| }, | |
| "Suspected Pneumonia$Intermedia_2": { | |
| "Cough is one of the main symptoms of pneumonia$Cause_1": { | |
| "cough$Input1": {} | |
| }, | |
| "These are common symptoms of pneumonia, especially productive cough and dyspnea.$Cause_1": { | |
| "Pt states for the last 1.5 weeks she has had cough occ productive of sputum and dyspnea$Input2": {} | |
| }, | |
| "People with asthma may be more likely to develop pneumonia when infected with respiratory pathogens$Cause_1": { | |
| "Asthma$Input3": {} | |
| }, | |
| "A dry cough is a common symptom of respiratory illness, especially when the lungs are infected.$Cause_1": { | |
| "occ dry cough$Input5": {} | |
| } | |
| } | |
| } | |
| }, | |
| "input1": "cough\n", | |
| "input2": "She is with h/o subglottic tracheal stenosis s/p endoscopic intervention, asthma who presents productive cough. Pt states for the last 1.5 weeks she has had cough occ productive of sputum and dyspnea. No fevers. She saw her PCP 3 days ago and had CXR which showing infiltrates and was treated with azithromycin (z-pack). Today she is on day 4 of this antibiotic but sx have not improved. She called PCP who referred her to the emergency department. \n \nIn the ED, initial VS were 97.3 67 ___ 100%. She was given a dose of Levofloxacin. CXR showed persistent RML opacity c/wpna. \n\nOn transfer to the floor, vitals were 98.2,68,14,140/82,100%. She c/o persistent cough, also rhinorrhea/sore throat which are improving. Feels her breathing is comfortable at rest, becomes slightly dyspneicwith exertion. Denies chest pain, abdominal pain, N/V, diarrhea.\n", | |
| "input3": "+Idiopathy subglottic stenosis\n+Hypothyroidism\n+Asthma\n+Vertigo\n", | |
| "input4": "NC\n", | |
| "input5": "VS - Temp 97.6F, BP 135/80, HR 71, R 20, O2-sat 100% RA \nGENERAL - well-appearing female in NAD, occ dry cough, comfortable, appropriate \nHEENT - NC/AT, PERRLA, EOMI, sclerae anicteric, MMM, OP clear \nNECK - supple, no thyromegaly, no JVD, no cervical LAD \nLUNGS - CTA bilat, no r/rh/wh, good air movement, resp \nunlabored, no accessory muscle use \nHEART - RRR, no MRG, nl S1-S2 \nABDOMEN - NABS, soft/NT/ND, no masses or HSM, no \nrebound/guarding \nEXTREMITIES - WWP, no c/c/e, 2+ peripheral pulses (radials, DPs) \nSKIN - no rashes or lesions \nNEURO - awake, A&Ox3, CNs II-XII grossly intact, strength and sensation grossly intact and symmetric\n", | |
| "input6": "Admission Labs:\n___ 10:30AM BLOOD WBC-6.7# RBC-4.04* Hgb-11.7* Hct-34.6* MCV-86 MCH-28.9 MCHC-33.7 RDW-13.1\n___ 10:30AM BLOOD Glucose-72 UreaN-13 Creat-0.7 Na-138 K-4.8 Cl-101 HCO3-28 AnGap-14\n___ 07:46AM BLOOD Calcium-9.1 Phos-4.2 Mg-2.0\n___ 10:53AM BLOOD Lactate-1.3\n\n\nImaging:\nCXR PA&LAT ___:\n\nCOMPARISON: ___, radiograph from only three days prior. PA AND LATERAL VIEWS OF THE CHEST: There is persistent subtle opacity in the lateral segment of the RML. Otherwise, lungs are clear. Heart size is normal. There is no pleural effusion or evidence of central lymph node enlargement. The bones are intact. \n \nMICROBIOLOGY:\n___ BLOOD CULTURE: NO GROWTH\n- Multiple organisms consistent with Haemophilus influenzae.\n" | |
| } |