argilla/medical-keywords · Datasets at Hugging Face

text stringlengths 5 1.33k	tokens sequence	prediction list	prediction_agent stringclasses 1 value	annotation null	annotation_agent null	id null	metadata dict	status stringclasses 1 value	event_timestamp timestamp[us]	metrics null
The thyroid gland weighs 12.4 grams and is grossly normal.	[ " ", "The", "thyroid", "gland", "weighs", "12.4", "grams", "and", "is", "grossly", "normal", "." ]	[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 52 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.889135	null
Both legs were also milked and produced no clots in the venous system.	[ " ", "Both", "legs", "were", "also", "milked", "and", "produced", "no", "clots", "in", "the", "venous", "system", "." ]	[ { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 44 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 57 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.890005	null
,CLINICOPATHOLOGIC CORRELATION,This patient died shortly after a previous pulmonary embolus completely occluded the right pulmonary artery vasculature., ,	[ ",CLINICOPATHOLOGIC", "CORRELATION", ",", "This", "patient", "died", "shortly", "after", "a", "previous", "pulmonary", "embolus", "completely", "occluded", "the", "right", "pulmonary", "artery", "vasculature", ".", ",", "," ]	[ { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 74 }, { "end": 138, "label": "KEYPHRASE", "score": 0, "start": 122 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.890494	null
The most significant finding on autopsy was the presence of multiple old and new thromboemboli in the pulmonary vasculature of the right lung.	[ "The", "most", "significant", "finding", "on", "autopsy", "was", "the", "presence", "of", "multiple", "old", "and", "new", "thromboemboli", "in", "the", "pulmonary", "vasculature", "of", "the", "right", "lung", "." ]	[ { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 102 }, { "end": 141, "label": "KEYPHRASE", "score": 0, "start": 137 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.891006	null
The autopsy revealed evidence of multiple emboli in the right lung that were at least a few days old because the emboli that were organizing were adherent to the vessel wall.	[ " ", "The", "autopsy", "revealed", "evidence", "of", "multiple", "emboli", "in", "the", "right", "lung", "that", "were", "at", "least", "a", "few", "days", "old", "because", "the", "emboli", "that", "were", "organizing", "were", "adherent", "to", "the", "vessel", "wall", "." ]	[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 63 }, { "end": 169, "label": "KEYPHRASE", "score": 0, "start": 163 }, { "end": 174, "label": "KEYPHRASE", "score": 0, "start": 170 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.891565	null
In order to be adherent to the vessel wall, the emboli must be in place long enough to evoke a fibroblast response, which takes at least a few days.	[ " ", "In", "order", "to", "be", "adherent", "to", "the", "vessel", "wall", ",", "the", "emboli", "must", "be", "in", "place", "long", "enough", "to", "evoke", "a", "fibroblast", "response", ",", "which", "takes", "at", "least", "a", "few", "days", "." ]	[ { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 72, "label": "KEYPHRASE", "score": 0, "start": 67 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.892122	null
The fatal event was not the old emboli in the right lung, but rather the thrombosis on top of the large saddle thrombus residing in the pulmonary artery.	[ " ", "The", "fatal", "event", "was", "not", "the", "old", "emboli", "in", "the", "right", "lung", ",", "but", "rather", "the", "thrombosis", "on", "top", "of", "the", "large", "saddle", "thrombus", "residing", "in", "the", "pulmonary", "artery", "." ]	[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 74 }, { "end": 120, "label": "KEYPHRASE", "score": 0, "start": 112 }, { "end": 153, "label": "KEYPHRASE", "score": 0, "start": 137 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.892674	null
This created a high-pressure situation that the right ventricle could not handle resulting in cardiac dysfunction and ultimately the patient's demise.	[ " ", "This", "created", "a", "high", "-", "pressure", "situation", "that", "the", "right", "ventricle", "could", "not", "handle", "resulting", "in", "cardiac", "dysfunction", "and", "ultimately", "the", "patient", "'s", "demise", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 81, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 95 }, { "end": 114, "label": "KEYPHRASE", "score": 0, "start": 103 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.893219	null
,Although this case is fairly straight forward in terms of what caused the terminal event, perhaps the more interesting question is why a relatively healthy 35-year-old man would develop a fatal pulmonary embolism.	[ ",Although", "this", "case", "is", "fairly", "straight", "forward", "in", "terms", "of", "what", "caused", "the", "terminal", "event", ",", "perhaps", "the", "more", "interesting", "question", "is", "why", "a", "relatively", "healthy", "35", "-", "year", "-", "old", "man", "would", "develop", "a", "fatal", "pulmonary", "embolism", "." ]	[ { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 156, "label": "KEYPHRASE", "score": 0, "start": 149 }, { "end": 213, "label": "KEYPHRASE", "score": 0, "start": 195 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.893801	null
Virchow's triad suggests we should investigate endothelial injury, stasis and a hypercoagulable state as possible etiologies.	[ " ", "Virchow", "'s", "triad", "suggests", "we", "should", "investigate", "endothelial", "injury", ",", "stasis", "and", "a", "hypercoagulable", "state", "as", "possible", "etiologies", "." ]	[ { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 96, "label": "KEYPHRASE", "score": 0, "start": 81 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.894315	null
The age of the patient probably precludes venous stasis as the sole reason for the embolus although it could have certainly contributed.	[ " ", "The", "age", "of", "the", "patient", "probably", "precludes", "venous", "stasis", "as", "the", "sole", "reason", "for", "the", "embolus", "although", "it", "could", "have", "certainly", "contributed", "." ]	[ { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 43 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.894841	null
The autopsy revealed no evidence of endothelial damage in the pulmonary vasculature that would have caused the occlusion.	[ " ", "The", "autopsy", "revealed", "no", "evidence", "of", "endothelial", "damage", "in", "the", "pulmonary", "vasculature", "that", "would", "have", "caused", "the", "occlusion", "." ]	[ { "end": 72, "label": "KEYPHRASE", "score": 0, "start": 63 }, { "end": 121, "label": "KEYPHRASE", "score": 0, "start": 112 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.895330	null
The next logical reason would be a hypercoagulable state.	[ " ", "The", "next", "logical", "reason", "would", "be", "a", "hypercoagulable", "state", "." ]	[ { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 36 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.895771	null
Some possibilities include obesity, trauma, surgery, cancer, Factor V Leiden deficiency (as well as other inherited disorders-prothrombin gene mutation, deficiencies in protein C, protein S, or antithrombin III, and disorders of plasminogen), and Lupus anticoagulant.	[ " ", "Some", "possibilities", "include", "obesity", ",", "trauma", ",", "surgery", ",", "cancer", ",", "Factor", "V", "Leiden", "deficiency", "(", "as", "well", "as", "other", "inherited", "disorders", "-", "prothrombin", "gene", "mutation", ",", "deficiencies", "in", "protein", "C", ",", "protein", "S", ",", "or", "antithrombin", "III", ",", "and", "disorders", "of", "plasminogen", ")", ",", "and", "Lupus", "anticoagulant", "." ]	[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 54 }, { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 78 }, { "end": 152, "label": "KEYPHRASE", "score": 0, "start": 144 }, { "end": 177, "label": "KEYPHRASE", "score": 0, "start": 170 }, { "end": 188, "label": "KEYPHRASE", "score": 0, "start": 181 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.896387	null
Of these risks factors, obesity was the only risk factor the patient was known to have.	[ " ", "Of", "these", "risks", "factors", ",", "obesity", "was", "the", "only", "risk", "factor", "the", "patient", "was", "known", "to", "have", "." ]	[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 25 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.896914	null
The patient had no evidence of trauma, surgery, cancer or the stigmata of SLE, therefore these are unlikely.	[ " ", "The", "patient", "had", "no", "evidence", "of", "trauma", ",", "surgery", ",", "cancer", "or", "the", "stigmata", "of", "SLE", ",", "therefore", "these", "are", "unlikely", "." ]	[ { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 40 }, { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 49 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.897414	null
Perhaps the most fruitful search would be an examination of the genetic possibilities for a hypercoagulable state (Factor V Leiden being the most common).,In summary, this patient died of a pulmonary embolism, the underlying cause of which is currently undetermined.	[ " ", "Perhaps", "the", "most", "fruitful", "search", "would", "be", "an", "examination", "of", "the", "genetic", "possibilities", "for", "a", "hypercoagulable", "state", "(", "Factor", "V", "Leiden", "being", "the", "most", "common).,In", "summary", ",", "this", "patient", "died", "of", "a", "pulmonary", "embolism", ",", "the", "underlying", "cause", "of", "which", "is", "currently", "undetermined", "." ]	[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 46 }, { "end": 108, "label": "KEYPHRASE", "score": 0, "start": 93 }, { "end": 209, "label": "KEYPHRASE", "score": 0, "start": 191 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.898014	null
This patient was an otherwise completely healthy 35-year-old man with one known risk factor for a hypercoagulable state.	[ " ", "This", "patient", "was", "an", "otherwise", "completely", "healthy", "35", "-", "year", "-", "old", "man", "with", "one", "known", "risk", "factor", "for", "a", "hypercoagulable", "state", "." ]	[ { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 114, "label": "KEYPHRASE", "score": 0, "start": 99 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.899456	null
,REMAINING UNANSWERED QUESTIONS:, Basically the cause of the hypercoagulable state is undetermined.	[ ",REMAINING", "UNANSWERED", "QUESTIONS", ":", ",", " ", "Basically", "the", "cause", "of", "the", "hypercoagulable", "state", "is", "undetermined", "." ]	[ { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 62 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.899931	null
Once that question is answered I believe this autopsy will have done a great service for the patient's family.	[ " ", "Once", "that", "question", "is", "answered", "I", "believe", "this", "autopsy", "will", "have", "done", "a", "great", "service", "for", "the", "patient", "'s", "family", "." ]	[ { "end": 110, "label": "KEYPHRASE", "score": 0, "start": 104 } ]	Argilla	null	null	null	{ "medical_specialty": " Autopsy" }	Default	2022-12-07T10:15:38.900428	null
PAST MEDICAL HISTORY: , Her medical conditions driving her toward surgery include hypercholesterolemia, hypertension, varicose veins, prior history of stroke.	[ "PAST", "MEDICAL", "HISTORY", ":", ",", "Her", "medical", "conditions", "driving", "her", "toward", "surgery", "include", "hypercholesterolemia", ",", "hypertension", ",", "varicose", "veins", ",", "prior", "history", "of", "stroke", "." ]	[ { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 66 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 82 }, { "end": 116, "label": "KEYPHRASE", "score": 0, "start": 104 }, { "end": 132, "label": "KEYPHRASE", "score": 0, "start": 118 }, { "end": 150, "label": "KEYPHRASE", "score": 0, "start": 140 }, { "end": 157, "label": "KEYPHRASE", "score": 0, "start": 151 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.901966	null
She denies any history of cancer.	[ " ", "She", "denies", "any", "history", "of", "cancer", "." ]	[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 27 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.902179	null
She does have a history of hepatitis which I will need to further investigate.	[ " ", "She", "does", "have", "a", "history", "of", "hepatitis", "which", "I", "will", "need", "to", "further", "investigate", "." ]	[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 28 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.902384	null
She complains of multiple joint pains, and heavy snoring.	[ " ", "She", "complains", "of", "multiple", "joint", "pains", ",", "and", "heavy", "snoring", "." ]	[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 50 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.902584	null
,PAST SURGICAL HISTORY: , Includes hysterectomy in 1995 for fibroids and varicose vein removal.	[ ",PAST", "SURGICAL", "HISTORY", ":", ",", "Includes", "hysterectomy", "in", "1995", "for", "fibroids", "and", "varicose", "vein", "removal", "." ]	[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 86, "label": "KEYPHRASE", "score": 0, "start": 73 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.902814	null
She had one ovary removed at the time of the hysterectomy as well.	[ " ", "She", "had", "one", "ovary", "removed", "at", "the", "time", "of", "the", "hysterectomy", "as", "well", "." ]	[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 46 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.903034	null
,SOCIAL HISTORY:, She is a single mother of one adopted child.	[ ",SOCIAL", "HISTORY", ":", ",", " ", "She", "is", "a", "single", "mother", "of", "one", "adopted", "child", "." ]	[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 57 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.903245	null
,FAMILY HISTORY: ,There is a strong family history of heart disease and hypertension, as well as diabetes on both sides of her family.	[ ",FAMILY", "HISTORY", ":", " ", ",", "There", "is", "a", "strong", "family", "history", "of", "heart", "disease", "and", "hypertension", ",", "as", "well", "as", "diabetes", "on", "both", "sides", "of", "her", "family", "." ]	[ { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 73 }, { "end": 106, "label": "KEYPHRASE", "score": 0, "start": 98 }, { "end": 134, "label": "KEYPHRASE", "score": 0, "start": 128 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.903522	null
Her mother is alive.	[ " ", "Her", "mother", "is", "alive", "." ]	[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 5 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.903739	null
Her father is deceased from alcohol.	[ " ", "Her", "father", "is", "deceased", "from", "alcohol", "." ]	[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 29 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.903904	null
,MEDICATIONS: , As you know she takes the following medications for her diabetes, insulin 70 units/6 units times four years, aspirin 81 mg a day, Actos 15 mg, Crestor 10 mg and CellCept 500 mg two times a day.	[ ",MEDICATIONS", ":", ",", "As", "you", "know", "she", "takes", "the", "following", "medications", "for", "her", "diabetes", ",", "insulin", "70", "units/6", "units", "times", "four", "years", ",", "aspirin", "81", "mg", "a", "day", ",", "Actos", "15", "mg", ",", "Crestor", "10", "mg", "and", "CellCept", "500", "mg", "two", "times", "a", "day", "." ]	[ { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 72 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 82 }, { "end": 132, "label": "KEYPHRASE", "score": 0, "start": 125 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.904355	null
,ALLERGIES: , She has no known drug allergies.	[ ",ALLERGIES", ":", ",", "She", "has", "no", "known", "drug", "allergies", "." ]	[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 36 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.904583	null
She does not appear to have any significant residual deficits from her stroke.	[ " ", "She", "does", "not", "appear", "to", "have", "any", "significant", "residual", "deficits", "from", "her", "stroke", "." ]	[ { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 78, "label": "KEYPHRASE", "score": 0, "start": 72 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.904933	null
There may be slight left arm weakness.	[ " ", "There", "may", "be", "slight", "left", "arm", "weakness", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 30 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.905120	null
,ASSESSMENT/PLAN:, We will have her undergo routine nutritional and psychosocial assessment.	[ ",ASSESSMENT", "/", "PLAN", ":", ",", " ", "We", "will", "have", "her", "undergo", "routine", "nutritional", "and", "psychosocial", "assessment", "." ]	[ { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 53 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.905329	null
I suspect that we can significantly improve the situation with her insulin and oral hypoglycemia, as well as hypertension, with significant weight loss.	[ " ", "I", "suspect", "that", "we", "can", "significantly", "improve", "the", "situation", "with", "her", "insulin", "and", "oral", "hypoglycemia", ",", "as", "well", "as", "hypertension", ",", "with", "significant", "weight", "loss", "." ]	[ { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 80 }, { "end": 97, "label": "KEYPHRASE", "score": 0, "start": 85 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 110 }, { "end": 152, "label": "KEYPHRASE", "score": 0, "start": 141 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.905597	null
She is otherwise at increased risk for future complications given her history, and weight loss will be a good option.	[ " ", "She", "is", "otherwise", "at", "increased", "risk", "for", "future", "complications", "given", "her", "history", ",", "and", "weight", "loss", "will", "be", "a", "good", "option", "." ]	[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 95, "label": "KEYPHRASE", "score": 0, "start": 84 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.905874	null
We will see her back in the office once she completes her preliminary workup and submit her for approval to the insurance company.	[ " ", "We", "will", "see", "her", "back", "in", "the", "office", "once", "she", "completes", "her", "preliminary", "workup", "and", "submit", "her", "for", "approval", "to", "the", "insurance", "company", "." ]	[ { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 113 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.906138	null
ADMISSION DIAGNOSIS:, Morbid obesity.	[ "ADMISSION", "DIAGNOSIS", ":", ",", " ", "Morbid", "obesity", "." ]	[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 30 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.908132	null
BMI is 51.,DISCHARGE DIAGNOSIS: , Morbid obesity.	[ " ", "BMI", "is", "51.,DISCHARGE", "DIAGNOSIS", ":", ",", "Morbid", "obesity", "." ]	[ { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 42 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.908329	null
BMI is 51.,PROCEDURE: , Laparoscopic gastric bypass.	[ " ", "BMI", "is", "51.,PROCEDURE", ":", ",", "Laparoscopic", "gastric", "bypass", "." ]	[ { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 38 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.908509	null
,CONSULT: , Anesthesia and pain.	[ ",CONSULT", ":", ",", "Anesthesia", "and", "pain", "." ]	[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 27 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.908789	null
,HISTORY OF PRESENT ILLNESS: , Ms. A is a 27-year-old woman, who suffered from morbid obesity for many years.	[ ",HISTORY", "OF", "PRESENT", "ILLNESS", ":", ",", "Ms.", "A", "is", "a", "27", "-", "year", "-", "old", "woman", ",", "who", "suffered", "from", "morbid", "obesity", "for", "many", "years", "." ]	[ { "end": 93, "label": "KEYPHRASE", "score": 0, "start": 79 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.909031	null
She has made multiple attempts at nonsurgical weight loss without success.	[ " ", "She", "has", "made", "multiple", "attempts", "at", "nonsurgical", "weight", "loss", "without", "success", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 47 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.909250	null
She underwent a preoperative workup and clearance for gastric bypass and was found to be an appropriate candidate.	[ " ", "She", "underwent", "a", "preoperative", "workup", "and", "clearance", "for", "gastric", "bypass", "and", "was", "found", "to", "be", "an", "appropriate", "candidate", "." ]	[ { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 55 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.909477	null
Her postoperative course has been unremarkable.	[ " ", "Her", "postoperative", "course", "has", "been", "unremarkable", "." ]	[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 5 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.910156	null
On postoperative day 1, she was hemodynamically stable, afebrile, normal labs, and she was started on a clear liquid diet, which she has tolerated without difficulty.	[ " ", "On", "postoperative", "day", "1", ",", "she", "was", "hemodynamically", "stable", ",", "afebrile", ",", "normal", "labs", ",", "and", "she", "was", "started", "on", "a", "clear", "liquid", "diet", ",", "which", "she", "has", "tolerated", "without", "difficulty", "." ]	[ { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 67 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 111 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.910432	null
Today, on postoperative day 2, the patient continues to do well.	[ " ", "Today", ",", "on", "postoperative", "day", "2", ",", "the", "patient", "continues", "to", "do", "well", "." ]	[ { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 11 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.910789	null
pain medicine, ambulating without difficulty, tolerating a liquid diet.	[ "pain", "medicine", ",", "ambulating", "without", "difficulty", ",", "tolerating", "a", "liquid", "diet", "." ]	[ { "end": 4, "label": "KEYPHRASE", "score": 0, "start": 0 }, { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 59 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.911102	null
At this point, it is felt that she is stable for discharge.	[ " ", "At", "this", "point", ",", "it", "is", "felt", "that", "she", "is", "stable", "for", "discharge", "." ]	[ { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 50 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.911310	null
Her drain was discontinued.	[ " ", "Her", "drain", "was", "discontinued", "." ]	[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 5 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.911509	null
,DISCHARGE INSTRUCTIONS:, Liquid diet x1 week, then advance to pureed and soft as tolerated.	[ ",DISCHARGE", "INSTRUCTIONS", ":", ",", " ", "Liquid", "diet", "x1", "week", ",", "then", "advance", "to", "pureed", "and", "soft", "as", "tolerated", "." ]	[ { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 75 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.911723	null
No heavy lifting, greater than 10 pounds x4 weeks.	[ " ", "No", "heavy", "lifting", ",", "greater", "than", "10", "pounds", "x4", "weeks", "." ]	[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 35 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.911928	null
The patient is instructed to not engage in any strenuous activity, but maintain mobility.	[ " ", "The", "patient", "is", "instructed", "to", "not", "engage", "in", "any", "strenuous", "activity", ",", "but", "maintain", "mobility", "." ]	[ { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 58 }, { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 72 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.912142	null
She must be able to stop in an emergency and be off narcotic pain medicine.	[ " ", "She", "must", "be", "able", "to", "stop", "in", "an", "emergency", "and", "be", "off", "narcotic", "pain", "medicine", "." ]	[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 62 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 67 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.912497	null
She needs to keep her wounds clean and dry.	[ " ", "She", "needs", "to", "keep", "her", "wounds", "clean", "and", "dry", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 23 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.912809	null
She needs to follow up in my office in 1 week for postoperative evaluation.	[ " ", "She", "needs", "to", "follow", "up", "in", "my", "office", "in", "1", "week", "for", "postoperative", "evaluation", "." ]	[ { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 65 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.913020	null
She is instructed to call for any problems of shortness of breath, chest pain, calf pain, temperature greater than 101.5, any redness, swelling, or foul smelling drainage from her wounds, intractable nausea, vomiting, and abdominal pain.	[ " ", "She", "is", "instructed", "to", "call", "for", "any", "problems", "of", "shortness", "of", "breath", ",", "chest", "pain", ",", "calf", "pain", ",", "temperature", "greater", "than", "101.5", ",", "any", "redness", ",", "swelling", ",", "or", "foul", "smelling", "drainage", "from", "her", "wounds", ",", "intractable", "nausea", ",", "vomiting", ",", "and", "abdominal", "pain", "." ]	[ { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 78, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 80 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 85 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 91 }, { "end": 134, "label": "KEYPHRASE", "score": 0, "start": 127 }, { "end": 144, "label": "KEYPHRASE", "score": 0, "start": 136 }, { "end": 171, "label": "KEYPHRASE", "score": 0, "start": 163 }, { "end": 187, "label": "KEYPHRASE", "score": 0, "start": 181 }, { "end": 200, "label": "KEYPHRASE", "score": 0, "start": 189 }, { "end": 207, "label": "KEYPHRASE", "score": 0, "start": 201 }, { "end": 217, "label": "KEYPHRASE", "score": 0, "start": 209 }, { "end": 237, "label": "KEYPHRASE", "score": 0, "start": 223 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.913400	null
She is instructed just to resume her discharge medications.	[ " ", "She", "is", "instructed", "just", "to", "resume", "her", "discharge", "medications", "." ]	[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 48 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.913664	null
HISTORY OF PRESENT ILLNESS:, Ms. A is a 55-year-old female who presented to the Bariatric Surgery Service for consideration of laparoscopic Roux-en-Y gastric bypass.	[ "HISTORY", "OF", "PRESENT", "ILLNESS", ":", ",", " ", "Ms.", "A", "is", "a", "55", "-", "year", "-", "old", "female", "who", "presented", "to", "the", "Bariatric", "Surgery", "Service", "for", "consideration", "of", "laparoscopic", "Roux", "-", "en", "-", "Y", "gastric", "bypass", "." ]	[ { "end": 140, "label": "KEYPHRASE", "score": 0, "start": 128 }, { "end": 165, "label": "KEYPHRASE", "score": 0, "start": 151 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.917456	null
The patient states that she has been overweight for approximately 35 years and has tried multiple weight loss modalities in the past including Weight Watchers, NutriSystem, Jenny Craig, TOPS, cabbage diet, grape fruit diet, Slim-Fast, Richard Simmons, as well as over-the-counter measures without any long-term sustainable weight loss.	[ " ", "The", "patient", "states", "that", "she", "has", "been", "overweight", "for", "approximately", "35", "years", "and", "has", "tried", "multiple", "weight", "loss", "modalities", "in", "the", "past", "including", "Weight", "Watchers", ",", "NutriSystem", ",", "Jenny", "Craig", ",", "TOPS", ",", "cabbage", "diet", ",", "grape", "fruit", "diet", ",", "Slim", "-", "Fast", ",", "Richard", "Simmons", ",", "as", "well", "as", "over", "-", "the", "-", "counter", "measures", "without", "any", "long", "-", "term", "sustainable", "weight", "loss", "." ]	[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 98, "label": "KEYPHRASE", "score": 0, "start": 90 }, { "end": 121, "label": "KEYPHRASE", "score": 0, "start": 99 }, { "end": 205, "label": "KEYPHRASE", "score": 0, "start": 193 }, { "end": 223, "label": "KEYPHRASE", "score": 0, "start": 207 }, { "end": 335, "label": "KEYPHRASE", "score": 0, "start": 324 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.918019	null
At the time of presentation to the practice, she is 5 feet 6 inches tall with a weight of 285.4 pounds and a body mass index of 46.	[ " ", "At", "the", "time", "of", "presentation", "to", "the", "practice", ",", "she", "is", "5", "feet", "6", "inches", "tall", "with", "a", "weight", "of", "285.4", "pounds", "and", "a", "body", "mass", "index", "of", "46", "." ]	[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 87, "label": "KEYPHRASE", "score": 0, "start": 81 }, { "end": 103, "label": "KEYPHRASE", "score": 0, "start": 97 }, { "end": 125, "label": "KEYPHRASE", "score": 0, "start": 110 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.918457	null
She has obesity-related comorbidities, which includes hypertension and hypercholesterolemia.	[ " ", "She", "has", "obesity", "-", "related", "comorbidities", ",", "which", "includes", "hypertension", "and", "hypercholesterolemia", "." ]	[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 92, "label": "KEYPHRASE", "score": 0, "start": 72 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.918776	null
,PAST MEDICAL HISTORY:, Significant for hypertension, for which the patient takes Norvasc and Lopressor for.	[ ",PAST", "MEDICAL", "HISTORY", ":", ",", " ", "Significant", "for", "hypertension", ",", "for", "which", "the", "patient", "takes", "Norvasc", "and", "Lopressor", "for", "." ]	[ { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 41 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.919097	null
She also suffers from high cholesterol and is on lovastatin for this.	[ " ", "She", "also", "suffers", "from", "high", "cholesterol", "and", "is", "on", "lovastatin", "for", "this", "." ]	[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 28 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.919390	null
She has depression, for which she takes citalopram.	[ " ", "She", "has", "depression", ",", "for", "which", "she", "takes", "citalopram", "." ]	[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 41 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.919660	null
She also stated that she had a DVT in the past prior to her hysterectomy.	[ " ", "She", "also", "stated", "that", "she", "had", "a", "DVT", "in", "the", "past", "prior", "to", "her", "hysterectomy", "." ]	[ { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 61 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.919954	null
She also suffers from thyroid disease in the past though this is unclear, the nature of this.	[ " ", "She", "also", "suffers", "from", "thyroid", "disease", "in", "the", "past", "though", "this", "is", "unclear", ",", "the", "nature", "of", "this", "." ]	[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 31 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.920263	null
,PAST SURGICAL HISTORY: , Significant for cholecystectomy in 2008 for gallstones.	[ ",PAST", "SURGICAL", "HISTORY", ":", ",", "Significant", "for", "cholecystectomy", "in", "2008", "for", "gallstones", "." ]	[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 70 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.920553	null
She also had a hysterectomy in 1994 secondary to hemorrhage.	[ " ", "She", "also", "had", "a", "hysterectomy", "in", "1994", "secondary", "to", "hemorrhage", "." ]	[ { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 50 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.920834	null
The patient denies any other abdominal surgeries.	[ " ", "The", "patient", "denies", "any", "other", "abdominal", "surgeries", "." ]	[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 30 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.921098	null
at bedtime, citalopram 10 mg p.o.	[ "at", "bedtime", ",", "citalopram", "10", "mg", "p.o", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 12 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.922158	null
daily, aspirin 500 mg three times a day, which is currently stopped, vitamin D, Premarin 0.3 mg one tablet p.o.	[ "daily", ",", "aspirin", "500", "mg", "three", "times", "a", "day", ",", "which", "is", "currently", "stopped", ",", "vitamin", "D", ",", "Premarin", "0.3", "mg", "one", "tablet", "p.o", "." ]	[ { "end": 14, "label": "KEYPHRASE", "score": 0, "start": 7 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.922479	null
,ALLERGIES: , The patient denies allergies to medications and to latex.	[ ",ALLERGIES", ":", ",", "The", "patient", "denies", "allergies", "to", "medications", "and", "to", "latex", "." ]	[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 46 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.923021	null
She is married, with 2 children aged 22 and 28.	[ " ", "She", "is", "married", ",", "with", "2", "children", "aged", "22", "and", "28", "." ]	[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 24 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.923522	null
,FAMILY HISTORY: ,Significant for high blood pressure and diabetes as well as cancer on her father side.	[ ",FAMILY", "HISTORY", ":", " ", ",", "Significant", "for", "high", "blood", "pressure", "and", "diabetes", "as", "well", "as", "cancer", "on", "her", "father", "side", "." ]	[ { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 40 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 59 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 79 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 93 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.924056	null
He did pass away from congestive heart failure.	[ " ", "He", "did", "pass", "away", "from", "congestive", "heart", "failure", "." ]	[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 23 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.924342	null
Mother suffers from high blood pressure, cancer, and diabetes.	[ " ", "Mother", "suffers", "from", "high", "blood", "pressure", ",", "cancer", ",", "and", "diabetes", "." ]	[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 54 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.924658	null
Her mother has passed away secondary to cancer.	[ " ", "Her", "mother", "has", "passed", "away", "secondary", "to", "cancer", "." ]	[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 41 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.924985	null
She has two brothers one passed away from brain cancer.	[ " ", "She", "has", "two", "brothers", "one", "passed", "away", "from", "brain", "cancer", "." ]	[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 43 }, { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 49 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.925267	null
,REVIEW OF SYSTEMS: , Significant for ankle swelling.	[ ",REVIEW", "OF", "SYSTEMS", ":", ",", "Significant", "for", "ankle", "swelling", "." ]	[ { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 38 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.925535	null
The patient also wears glasses for vision and has dentures.	[ " ", "The", "patient", "also", "wears", "glasses", "for", "vision", "and", "has", "dentures", "." ]	[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 36 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.925807	null
She does complain of shortness of breath with exertion.	[ " ", "She", "does", "complain", "of", "shortness", "of", "breath", "with", "exertion", "." ]	[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 22 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.926076	null
She also suffers from hemorrhoids and frequent urination at night as well as weightbearing joint pain.	[ " ", "She", "also", "suffers", "from", "hemorrhoids", "and", "frequent", "urination", "at", "night", "as", "well", "as", "weightbearing", "joint", "pain", "." ]	[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 91, "label": "KEYPHRASE", "score": 0, "start": 78 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 92 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.926378	null
The patient denies ulcerative colitis, Crohn disease, bleeding diathesis, liver disease, or kidney disease.	[ " ", "The", "patient", "denies", "ulcerative", "colitis", ",", "Crohn", "disease", ",", "bleeding", "diathesis", ",", "liver", "disease", ",", "or", "kidney", "disease", "." ]	[ { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 46 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 93 }, { "end": 107, "label": "KEYPHRASE", "score": 0, "start": 100 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.926714	null
She denies chest pain, cardiac disease, cancer, and stroke.	[ " ", "She", "denies", "chest", "pain", ",", "cardiac", "disease", ",", "cancer", ",", "and", "stroke", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 41 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 53 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.927071	null
,PHYSICAL EXAMINATION: ,The patient is a well-nourished, well-developed female, in no distress.	[ ",PHYSICAL", "EXAMINATION", ":", " ", ",", "The", "patient", "is", "a", "well", "-", "nourished", ",", "well", "-", "developed", "female", ",", "in", "no", "distress", "." ]	[ { "end": 72, "label": "KEYPHRASE", "score": 0, "start": 63 }, { "end": 95, "label": "KEYPHRASE", "score": 0, "start": 87 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.927406	null
Eye Exam: Pupils equal and reactive to light.	[ " ", "Eye", "Exam", ":", " ", "Pupils", "equal", "and", "reactive", "to", "light", "." ]	[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 29 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.927697	null
Extraocular motions are intact.	[ " ", "Extraocular", "motions", "are", "intact", "." ]	[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.927951	null
Neck Exam: No cervical lymphadenopathy.	[ " ", "Neck", "Exam", ":", " ", "No", "cervical", "lymphadenopathy", "." ]	[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 16 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.928212	null
Midline trachea.	[ " ", "Midline", "trachea", "." ]	[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 9 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.928450	null
No carotid bruits.	[ " ", "No", "carotid", "bruits", "." ]	[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 4 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.928685	null
Nonpalpable thyroid.	[ " ", "Nonpalpable", "thyroid", "." ]	[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 13 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.928915	null
Neuro Exam: Gross motor strength in the upper and lower extremities, equal bilaterally with no focal neuro deficits noted.	[ " ", "Neuro", "Exam", ":", " ", "Gross", "motor", "strength", "in", "the", "upper", "and", "lower", "extremities", ",", "equal", "bilaterally", "with", "no", "focal", "neuro", "deficits", "noted", "." ]	[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 71 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.929240	null
Lung Exam: Clear breath sounds without rhonchi or wheezes.	[ " ", "Lung", "Exam", ":", " ", "Clear", "breath", "sounds", "without", "rhonchi", "or", "wheezes", "." ]	[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 41 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 52 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.929543	null
Cardiac Exam: Regular rate and rhythm without murmur or bruits.	[ " ", "Cardiac", "Exam", ":", " ", "Regular", "rate", "and", "rhythm", "without", "murmur", "or", "bruits", "." ]	[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 48 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.929838	null
Abdominal Exam: Positive bowel sounds.	[ " ", "Abdominal", "Exam", ":", " ", "Positive", "bowel", "sounds", "." ]	[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 33 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.930147	null
Soft, nontender, obese, and nondistended abdomen.	[ " ", "Soft", ",", "nontender", ",", "obese", ",", "and", "nondistended", "abdomen", "." ]	[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 29 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 42 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.930457	null
Lap cholecystectomy scars noted.	[ " ", "Lap", "cholecystectomy", "scars", "noted", "." ]	[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 5 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.930723	null
No obvious hernias.	[ " ", "No", "obvious", "hernias", "." ]	[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 12 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:15:38.930967	null

The thyroid gland weighs 12.4 grams and is grossly normal.

[ " ", "The", "thyroid", "gland", "weighs", "12.4", "grams", "and", "is", "grossly", "normal", "." ]

[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 52 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.889135

null

Both legs were also milked and produced no clots in the venous system.

[ " ", "Both", "legs", "were", "also", "milked", "and", "produced", "no", "clots", "in", "the", "venous", "system", "." ]

[ { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 44 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 57 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.890005

null

,CLINICOPATHOLOGIC CORRELATION,This patient died shortly after a previous pulmonary embolus completely occluded the right pulmonary artery vasculature., ,

[ ",CLINICOPATHOLOGIC", "CORRELATION", ",", "This", "patient", "died", "shortly", "after", "a", "previous", "pulmonary", "embolus", "completely", "occluded", "the", "right", "pulmonary", "artery", "vasculature", ".", ",", "," ]

[ { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 74 }, { "end": 138, "label": "KEYPHRASE", "score": 0, "start": 122 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.890494

null

The most significant finding on autopsy was the presence of multiple old and new thromboemboli in the pulmonary vasculature of the right lung.

[ "The", "most", "significant", "finding", "on", "autopsy", "was", "the", "presence", "of", "multiple", "old", "and", "new", "thromboemboli", "in", "the", "pulmonary", "vasculature", "of", "the", "right", "lung", "." ]

[ { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 102 }, { "end": 141, "label": "KEYPHRASE", "score": 0, "start": 137 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.891006

null

The autopsy revealed evidence of multiple emboli in the right lung that were at least a few days old because the emboli that were organizing were adherent to the vessel wall.

[ " ", "The", "autopsy", "revealed", "evidence", "of", "multiple", "emboli", "in", "the", "right", "lung", "that", "were", "at", "least", "a", "few", "days", "old", "because", "the", "emboli", "that", "were", "organizing", "were", "adherent", "to", "the", "vessel", "wall", "." ]

[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 63 }, { "end": 169, "label": "KEYPHRASE", "score": 0, "start": 163 }, { "end": 174, "label": "KEYPHRASE", "score": 0, "start": 170 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.891565

null

In order to be adherent to the vessel wall, the emboli must be in place long enough to evoke a fibroblast response, which takes at least a few days.

[ " ", "In", "order", "to", "be", "adherent", "to", "the", "vessel", "wall", ",", "the", "emboli", "must", "be", "in", "place", "long", "enough", "to", "evoke", "a", "fibroblast", "response", ",", "which", "takes", "at", "least", "a", "few", "days", "." ]

[ { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 72, "label": "KEYPHRASE", "score": 0, "start": 67 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.892122

null

The fatal event was not the old emboli in the right lung, but rather the thrombosis on top of the large saddle thrombus residing in the pulmonary artery.

[ " ", "The", "fatal", "event", "was", "not", "the", "old", "emboli", "in", "the", "right", "lung", ",", "but", "rather", "the", "thrombosis", "on", "top", "of", "the", "large", "saddle", "thrombus", "residing", "in", "the", "pulmonary", "artery", "." ]

[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 74 }, { "end": 120, "label": "KEYPHRASE", "score": 0, "start": 112 }, { "end": 153, "label": "KEYPHRASE", "score": 0, "start": 137 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.892674

null

This created a high-pressure situation that the right ventricle could not handle resulting in cardiac dysfunction and ultimately the patient's demise.

[ " ", "This", "created", "a", "high", "-", "pressure", "situation", "that", "the", "right", "ventricle", "could", "not", "handle", "resulting", "in", "cardiac", "dysfunction", "and", "ultimately", "the", "patient", "'s", "demise", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 81, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 95 }, { "end": 114, "label": "KEYPHRASE", "score": 0, "start": 103 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.893219

null

,Although this case is fairly straight forward in terms of what caused the terminal event, perhaps the more interesting question is why a relatively healthy 35-year-old man would develop a fatal pulmonary embolism.

[ ",Although", "this", "case", "is", "fairly", "straight", "forward", "in", "terms", "of", "what", "caused", "the", "terminal", "event", ",", "perhaps", "the", "more", "interesting", "question", "is", "why", "a", "relatively", "healthy", "35", "-", "year", "-", "old", "man", "would", "develop", "a", "fatal", "pulmonary", "embolism", "." ]

[ { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 156, "label": "KEYPHRASE", "score": 0, "start": 149 }, { "end": 213, "label": "KEYPHRASE", "score": 0, "start": 195 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.893801

null

Virchow's triad suggests we should investigate endothelial injury, stasis and a hypercoagulable state as possible etiologies.

[ " ", "Virchow", "'s", "triad", "suggests", "we", "should", "investigate", "endothelial", "injury", ",", "stasis", "and", "a", "hypercoagulable", "state", "as", "possible", "etiologies", "." ]

[ { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 96, "label": "KEYPHRASE", "score": 0, "start": 81 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.894315

null

The age of the patient probably precludes venous stasis as the sole reason for the embolus although it could have certainly contributed.

[ " ", "The", "age", "of", "the", "patient", "probably", "precludes", "venous", "stasis", "as", "the", "sole", "reason", "for", "the", "embolus", "although", "it", "could", "have", "certainly", "contributed", "." ]

[ { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 43 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.894841

null

The autopsy revealed no evidence of endothelial damage in the pulmonary vasculature that would have caused the occlusion.

[ " ", "The", "autopsy", "revealed", "no", "evidence", "of", "endothelial", "damage", "in", "the", "pulmonary", "vasculature", "that", "would", "have", "caused", "the", "occlusion", "." ]

[ { "end": 72, "label": "KEYPHRASE", "score": 0, "start": 63 }, { "end": 121, "label": "KEYPHRASE", "score": 0, "start": 112 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.895330

null

The next logical reason would be a hypercoagulable state.

[ " ", "The", "next", "logical", "reason", "would", "be", "a", "hypercoagulable", "state", "." ]

[ { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 36 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.895771

null

Some possibilities include obesity, trauma, surgery, cancer, Factor V Leiden deficiency (as well as other inherited disorders-prothrombin gene mutation, deficiencies in protein C, protein S, or antithrombin III, and disorders of plasminogen), and Lupus anticoagulant.

[ " ", "Some", "possibilities", "include", "obesity", ",", "trauma", ",", "surgery", ",", "cancer", ",", "Factor", "V", "Leiden", "deficiency", "(", "as", "well", "as", "other", "inherited", "disorders", "-", "prothrombin", "gene", "mutation", ",", "deficiencies", "in", "protein", "C", ",", "protein", "S", ",", "or", "antithrombin", "III", ",", "and", "disorders", "of", "plasminogen", ")", ",", "and", "Lupus", "anticoagulant", "." ]

[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 54 }, { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 78 }, { "end": 152, "label": "KEYPHRASE", "score": 0, "start": 144 }, { "end": 177, "label": "KEYPHRASE", "score": 0, "start": 170 }, { "end": 188, "label": "KEYPHRASE", "score": 0, "start": 181 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.896387

null

Of these risks factors, obesity was the only risk factor the patient was known to have.

[ " ", "Of", "these", "risks", "factors", ",", "obesity", "was", "the", "only", "risk", "factor", "the", "patient", "was", "known", "to", "have", "." ]

[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 25 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.896914

null

The patient had no evidence of trauma, surgery, cancer or the stigmata of SLE, therefore these are unlikely.

[ " ", "The", "patient", "had", "no", "evidence", "of", "trauma", ",", "surgery", ",", "cancer", "or", "the", "stigmata", "of", "SLE", ",", "therefore", "these", "are", "unlikely", "." ]

[ { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 40 }, { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 49 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.897414

null

Perhaps the most fruitful search would be an examination of the genetic possibilities for a hypercoagulable state (Factor V Leiden being the most common).,In summary, this patient died of a pulmonary embolism, the underlying cause of which is currently undetermined.

[ " ", "Perhaps", "the", "most", "fruitful", "search", "would", "be", "an", "examination", "of", "the", "genetic", "possibilities", "for", "a", "hypercoagulable", "state", "(", "Factor", "V", "Leiden", "being", "the", "most", "common).,In", "summary", ",", "this", "patient", "died", "of", "a", "pulmonary", "embolism", ",", "the", "underlying", "cause", "of", "which", "is", "currently", "undetermined", "." ]

[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 46 }, { "end": 108, "label": "KEYPHRASE", "score": 0, "start": 93 }, { "end": 209, "label": "KEYPHRASE", "score": 0, "start": 191 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.898014

null

This patient was an otherwise completely healthy 35-year-old man with one known risk factor for a hypercoagulable state.

[ " ", "This", "patient", "was", "an", "otherwise", "completely", "healthy", "35", "-", "year", "-", "old", "man", "with", "one", "known", "risk", "factor", "for", "a", "hypercoagulable", "state", "." ]

[ { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 114, "label": "KEYPHRASE", "score": 0, "start": 99 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.899456

null

,REMAINING UNANSWERED QUESTIONS:, Basically the cause of the hypercoagulable state is undetermined.

[ ",REMAINING", "UNANSWERED", "QUESTIONS", ":", ",", " ", "Basically", "the", "cause", "of", "the", "hypercoagulable", "state", "is", "undetermined", "." ]

[ { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 62 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.899931

null

Once that question is answered I believe this autopsy will have done a great service for the patient's family.

[ " ", "Once", "that", "question", "is", "answered", "I", "believe", "this", "autopsy", "will", "have", "done", "a", "great", "service", "for", "the", "patient", "'s", "family", "." ]

[ { "end": 110, "label": "KEYPHRASE", "score": 0, "start": 104 } ]

Argilla

null

{ "medical_specialty": " Autopsy" }

Default

2022-12-07T10:15:38.900428

null

PAST MEDICAL HISTORY: , Her medical conditions driving her toward surgery include hypercholesterolemia, hypertension, varicose veins, prior history of stroke.

[ "PAST", "MEDICAL", "HISTORY", ":", ",", "Her", "medical", "conditions", "driving", "her", "toward", "surgery", "include", "hypercholesterolemia", ",", "hypertension", ",", "varicose", "veins", ",", "prior", "history", "of", "stroke", "." ]

[ { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 66 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 82 }, { "end": 116, "label": "KEYPHRASE", "score": 0, "start": 104 }, { "end": 132, "label": "KEYPHRASE", "score": 0, "start": 118 }, { "end": 150, "label": "KEYPHRASE", "score": 0, "start": 140 }, { "end": 157, "label": "KEYPHRASE", "score": 0, "start": 151 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.901966

null

She denies any history of cancer.

[ " ", "She", "denies", "any", "history", "of", "cancer", "." ]

[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 27 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.902179

null

She does have a history of hepatitis which I will need to further investigate.

[ " ", "She", "does", "have", "a", "history", "of", "hepatitis", "which", "I", "will", "need", "to", "further", "investigate", "." ]

[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 28 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.902384

null

She complains of multiple joint pains, and heavy snoring.

[ " ", "She", "complains", "of", "multiple", "joint", "pains", ",", "and", "heavy", "snoring", "." ]

[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 50 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.902584

null

,PAST SURGICAL HISTORY: , Includes hysterectomy in 1995 for fibroids and varicose vein removal.

[ ",PAST", "SURGICAL", "HISTORY", ":", ",", "Includes", "hysterectomy", "in", "1995", "for", "fibroids", "and", "varicose", "vein", "removal", "." ]

[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 86, "label": "KEYPHRASE", "score": 0, "start": 73 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.902814

null

She had one ovary removed at the time of the hysterectomy as well.

[ " ", "She", "had", "one", "ovary", "removed", "at", "the", "time", "of", "the", "hysterectomy", "as", "well", "." ]

[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 46 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.903034

null

,SOCIAL HISTORY:, She is a single mother of one adopted child.

[ ",SOCIAL", "HISTORY", ":", ",", " ", "She", "is", "a", "single", "mother", "of", "one", "adopted", "child", "." ]

[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 57 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.903245

null

,FAMILY HISTORY: ,There is a strong family history of heart disease and hypertension, as well as diabetes on both sides of her family.

[ ",FAMILY", "HISTORY", ":", " ", ",", "There", "is", "a", "strong", "family", "history", "of", "heart", "disease", "and", "hypertension", ",", "as", "well", "as", "diabetes", "on", "both", "sides", "of", "her", "family", "." ]

[ { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 73 }, { "end": 106, "label": "KEYPHRASE", "score": 0, "start": 98 }, { "end": 134, "label": "KEYPHRASE", "score": 0, "start": 128 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.903522

null

Her mother is alive.

[ " ", "Her", "mother", "is", "alive", "." ]

[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 5 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.903739

null

Her father is deceased from alcohol.

[ " ", "Her", "father", "is", "deceased", "from", "alcohol", "." ]

[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 29 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.903904

null

,MEDICATIONS: , As you know she takes the following medications for her diabetes, insulin 70 units/6 units times four years, aspirin 81 mg a day, Actos 15 mg, Crestor 10 mg and CellCept 500 mg two times a day.

[ ",MEDICATIONS", ":", ",", "As", "you", "know", "she", "takes", "the", "following", "medications", "for", "her", "diabetes", ",", "insulin", "70", "units/6", "units", "times", "four", "years", ",", "aspirin", "81", "mg", "a", "day", ",", "Actos", "15", "mg", ",", "Crestor", "10", "mg", "and", "CellCept", "500", "mg", "two", "times", "a", "day", "." ]

[ { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 72 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 82 }, { "end": 132, "label": "KEYPHRASE", "score": 0, "start": 125 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.904355

null

,ALLERGIES: , She has no known drug allergies.

[ ",ALLERGIES", ":", ",", "She", "has", "no", "known", "drug", "allergies", "." ]

[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 36 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.904583

null

She does not appear to have any significant residual deficits from her stroke.

[ " ", "She", "does", "not", "appear", "to", "have", "any", "significant", "residual", "deficits", "from", "her", "stroke", "." ]

[ { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 78, "label": "KEYPHRASE", "score": 0, "start": 72 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.904933

null

There may be slight left arm weakness.

[ " ", "There", "may", "be", "slight", "left", "arm", "weakness", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 30 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.905120

null

,ASSESSMENT/PLAN:, We will have her undergo routine nutritional and psychosocial assessment.

[ ",ASSESSMENT", "/", "PLAN", ":", ",", " ", "We", "will", "have", "her", "undergo", "routine", "nutritional", "and", "psychosocial", "assessment", "." ]

[ { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 53 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.905329

null

I suspect that we can significantly improve the situation with her insulin and oral hypoglycemia, as well as hypertension, with significant weight loss.

[ " ", "I", "suspect", "that", "we", "can", "significantly", "improve", "the", "situation", "with", "her", "insulin", "and", "oral", "hypoglycemia", ",", "as", "well", "as", "hypertension", ",", "with", "significant", "weight", "loss", "." ]

[ { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 80 }, { "end": 97, "label": "KEYPHRASE", "score": 0, "start": 85 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 110 }, { "end": 152, "label": "KEYPHRASE", "score": 0, "start": 141 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.905597

null

She is otherwise at increased risk for future complications given her history, and weight loss will be a good option.

[ " ", "She", "is", "otherwise", "at", "increased", "risk", "for", "future", "complications", "given", "her", "history", ",", "and", "weight", "loss", "will", "be", "a", "good", "option", "." ]

[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 95, "label": "KEYPHRASE", "score": 0, "start": 84 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.905874

null

We will see her back in the office once she completes her preliminary workup and submit her for approval to the insurance company.

[ " ", "We", "will", "see", "her", "back", "in", "the", "office", "once", "she", "completes", "her", "preliminary", "workup", "and", "submit", "her", "for", "approval", "to", "the", "insurance", "company", "." ]

[ { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 113 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.906138

null

ADMISSION DIAGNOSIS:, Morbid obesity.

[ "ADMISSION", "DIAGNOSIS", ":", ",", " ", "Morbid", "obesity", "." ]

[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 30 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.908132

null

BMI is 51.,DISCHARGE DIAGNOSIS: , Morbid obesity.

[ " ", "BMI", "is", "51.,DISCHARGE", "DIAGNOSIS", ":", ",", "Morbid", "obesity", "." ]

[ { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 42 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.908329

null

BMI is 51.,PROCEDURE: , Laparoscopic gastric bypass.

[ " ", "BMI", "is", "51.,PROCEDURE", ":", ",", "Laparoscopic", "gastric", "bypass", "." ]

[ { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 38 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.908509

null

,CONSULT: , Anesthesia and pain.

[ ",CONSULT", ":", ",", "Anesthesia", "and", "pain", "." ]

[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 27 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.908789

null

,HISTORY OF PRESENT ILLNESS: , Ms. A is a 27-year-old woman, who suffered from morbid obesity for many years.

[ ",HISTORY", "OF", "PRESENT", "ILLNESS", ":", ",", "Ms.", "A", "is", "a", "27", "-", "year", "-", "old", "woman", ",", "who", "suffered", "from", "morbid", "obesity", "for", "many", "years", "." ]

[ { "end": 93, "label": "KEYPHRASE", "score": 0, "start": 79 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.909031

null

She has made multiple attempts at nonsurgical weight loss without success.

[ " ", "She", "has", "made", "multiple", "attempts", "at", "nonsurgical", "weight", "loss", "without", "success", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 47 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.909250

null

She underwent a preoperative workup and clearance for gastric bypass and was found to be an appropriate candidate.

[ " ", "She", "underwent", "a", "preoperative", "workup", "and", "clearance", "for", "gastric", "bypass", "and", "was", "found", "to", "be", "an", "appropriate", "candidate", "." ]

[ { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 55 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.909477

null

Her postoperative course has been unremarkable.

[ " ", "Her", "postoperative", "course", "has", "been", "unremarkable", "." ]

[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 5 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.910156

null

On postoperative day 1, she was hemodynamically stable, afebrile, normal labs, and she was started on a clear liquid diet, which she has tolerated without difficulty.

[ " ", "On", "postoperative", "day", "1", ",", "she", "was", "hemodynamically", "stable", ",", "afebrile", ",", "normal", "labs", ",", "and", "she", "was", "started", "on", "a", "clear", "liquid", "diet", ",", "which", "she", "has", "tolerated", "without", "difficulty", "." ]

[ { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 67 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 111 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.910432

null

Today, on postoperative day 2, the patient continues to do well.

[ " ", "Today", ",", "on", "postoperative", "day", "2", ",", "the", "patient", "continues", "to", "do", "well", "." ]

[ { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 11 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.910789

null

pain medicine, ambulating without difficulty, tolerating a liquid diet.

[ "pain", "medicine", ",", "ambulating", "without", "difficulty", ",", "tolerating", "a", "liquid", "diet", "." ]

[ { "end": 4, "label": "KEYPHRASE", "score": 0, "start": 0 }, { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 59 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.911102

null

At this point, it is felt that she is stable for discharge.

[ " ", "At", "this", "point", ",", "it", "is", "felt", "that", "she", "is", "stable", "for", "discharge", "." ]

[ { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 50 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.911310

null

Her drain was discontinued.

[ " ", "Her", "drain", "was", "discontinued", "." ]

[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 5 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.911509

null

,DISCHARGE INSTRUCTIONS:, Liquid diet x1 week, then advance to pureed and soft as tolerated.

[ ",DISCHARGE", "INSTRUCTIONS", ":", ",", " ", "Liquid", "diet", "x1", "week", ",", "then", "advance", "to", "pureed", "and", "soft", "as", "tolerated", "." ]

[ { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 75 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.911723

null

No heavy lifting, greater than 10 pounds x4 weeks.

[ " ", "No", "heavy", "lifting", ",", "greater", "than", "10", "pounds", "x4", "weeks", "." ]

[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 35 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.911928

null

The patient is instructed to not engage in any strenuous activity, but maintain mobility.

[ " ", "The", "patient", "is", "instructed", "to", "not", "engage", "in", "any", "strenuous", "activity", ",", "but", "maintain", "mobility", "." ]

[ { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 58 }, { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 72 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.912142

null

She must be able to stop in an emergency and be off narcotic pain medicine.

[ " ", "She", "must", "be", "able", "to", "stop", "in", "an", "emergency", "and", "be", "off", "narcotic", "pain", "medicine", "." ]

[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 62 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 67 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.912497

null

She needs to keep her wounds clean and dry.

[ " ", "She", "needs", "to", "keep", "her", "wounds", "clean", "and", "dry", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 23 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.912809

null

She needs to follow up in my office in 1 week for postoperative evaluation.

[ " ", "She", "needs", "to", "follow", "up", "in", "my", "office", "in", "1", "week", "for", "postoperative", "evaluation", "." ]

[ { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 65 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.913020

null

She is instructed to call for any problems of shortness of breath, chest pain, calf pain, temperature greater than 101.5, any redness, swelling, or foul smelling drainage from her wounds, intractable nausea, vomiting, and abdominal pain.

[ " ", "She", "is", "instructed", "to", "call", "for", "any", "problems", "of", "shortness", "of", "breath", ",", "chest", "pain", ",", "calf", "pain", ",", "temperature", "greater", "than", "101.5", ",", "any", "redness", ",", "swelling", ",", "or", "foul", "smelling", "drainage", "from", "her", "wounds", ",", "intractable", "nausea", ",", "vomiting", ",", "and", "abdominal", "pain", "." ]

[ { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 78, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 80 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 85 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 91 }, { "end": 134, "label": "KEYPHRASE", "score": 0, "start": 127 }, { "end": 144, "label": "KEYPHRASE", "score": 0, "start": 136 }, { "end": 171, "label": "KEYPHRASE", "score": 0, "start": 163 }, { "end": 187, "label": "KEYPHRASE", "score": 0, "start": 181 }, { "end": 200, "label": "KEYPHRASE", "score": 0, "start": 189 }, { "end": 207, "label": "KEYPHRASE", "score": 0, "start": 201 }, { "end": 217, "label": "KEYPHRASE", "score": 0, "start": 209 }, { "end": 237, "label": "KEYPHRASE", "score": 0, "start": 223 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.913400

null

She is instructed just to resume her discharge medications.

[ " ", "She", "is", "instructed", "just", "to", "resume", "her", "discharge", "medications", "." ]

[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 48 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.913664

null

HISTORY OF PRESENT ILLNESS:, Ms. A is a 55-year-old female who presented to the Bariatric Surgery Service for consideration of laparoscopic Roux-en-Y gastric bypass.

[ "HISTORY", "OF", "PRESENT", "ILLNESS", ":", ",", " ", "Ms.", "A", "is", "a", "55", "-", "year", "-", "old", "female", "who", "presented", "to", "the", "Bariatric", "Surgery", "Service", "for", "consideration", "of", "laparoscopic", "Roux", "-", "en", "-", "Y", "gastric", "bypass", "." ]

[ { "end": 140, "label": "KEYPHRASE", "score": 0, "start": 128 }, { "end": 165, "label": "KEYPHRASE", "score": 0, "start": 151 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.917456

null

The patient states that she has been overweight for approximately 35 years and has tried multiple weight loss modalities in the past including Weight Watchers, NutriSystem, Jenny Craig, TOPS, cabbage diet, grape fruit diet, Slim-Fast, Richard Simmons, as well as over-the-counter measures without any long-term sustainable weight loss.

[ " ", "The", "patient", "states", "that", "she", "has", "been", "overweight", "for", "approximately", "35", "years", "and", "has", "tried", "multiple", "weight", "loss", "modalities", "in", "the", "past", "including", "Weight", "Watchers", ",", "NutriSystem", ",", "Jenny", "Craig", ",", "TOPS", ",", "cabbage", "diet", ",", "grape", "fruit", "diet", ",", "Slim", "-", "Fast", ",", "Richard", "Simmons", ",", "as", "well", "as", "over", "-", "the", "-", "counter", "measures", "without", "any", "long", "-", "term", "sustainable", "weight", "loss", "." ]

[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 98, "label": "KEYPHRASE", "score": 0, "start": 90 }, { "end": 121, "label": "KEYPHRASE", "score": 0, "start": 99 }, { "end": 205, "label": "KEYPHRASE", "score": 0, "start": 193 }, { "end": 223, "label": "KEYPHRASE", "score": 0, "start": 207 }, { "end": 335, "label": "KEYPHRASE", "score": 0, "start": 324 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.918019

null

At the time of presentation to the practice, she is 5 feet 6 inches tall with a weight of 285.4 pounds and a body mass index of 46.

[ " ", "At", "the", "time", "of", "presentation", "to", "the", "practice", ",", "she", "is", "5", "feet", "6", "inches", "tall", "with", "a", "weight", "of", "285.4", "pounds", "and", "a", "body", "mass", "index", "of", "46", "." ]

[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 87, "label": "KEYPHRASE", "score": 0, "start": 81 }, { "end": 103, "label": "KEYPHRASE", "score": 0, "start": 97 }, { "end": 125, "label": "KEYPHRASE", "score": 0, "start": 110 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.918457

null

She has obesity-related comorbidities, which includes hypertension and hypercholesterolemia.

[ " ", "She", "has", "obesity", "-", "related", "comorbidities", ",", "which", "includes", "hypertension", "and", "hypercholesterolemia", "." ]

[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 92, "label": "KEYPHRASE", "score": 0, "start": 72 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.918776

null

,PAST MEDICAL HISTORY:, Significant for hypertension, for which the patient takes Norvasc and Lopressor for.

[ ",PAST", "MEDICAL", "HISTORY", ":", ",", " ", "Significant", "for", "hypertension", ",", "for", "which", "the", "patient", "takes", "Norvasc", "and", "Lopressor", "for", "." ]

[ { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 41 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.919097

null

She also suffers from high cholesterol and is on lovastatin for this.

[ " ", "She", "also", "suffers", "from", "high", "cholesterol", "and", "is", "on", "lovastatin", "for", "this", "." ]

[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 28 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.919390

null

She has depression, for which she takes citalopram.

[ " ", "She", "has", "depression", ",", "for", "which", "she", "takes", "citalopram", "." ]

[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 41 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.919660

null

She also stated that she had a DVT in the past prior to her hysterectomy.

[ " ", "She", "also", "stated", "that", "she", "had", "a", "DVT", "in", "the", "past", "prior", "to", "her", "hysterectomy", "." ]

[ { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 61 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.919954

null

She also suffers from thyroid disease in the past though this is unclear, the nature of this.

[ " ", "She", "also", "suffers", "from", "thyroid", "disease", "in", "the", "past", "though", "this", "is", "unclear", ",", "the", "nature", "of", "this", "." ]

[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 31 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

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2022-12-07T10:15:38.920263

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,PAST SURGICAL HISTORY: , Significant for cholecystectomy in 2008 for gallstones.

[ ",PAST", "SURGICAL", "HISTORY", ":", ",", "Significant", "for", "cholecystectomy", "in", "2008", "for", "gallstones", "." ]

[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 70 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.920553

null

She also had a hysterectomy in 1994 secondary to hemorrhage.

[ " ", "She", "also", "had", "a", "hysterectomy", "in", "1994", "secondary", "to", "hemorrhage", "." ]

[ { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 50 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

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2022-12-07T10:15:38.920834

null

The patient denies any other abdominal surgeries.

[ " ", "The", "patient", "denies", "any", "other", "abdominal", "surgeries", "." ]

[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 30 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.921098

null

at bedtime, citalopram 10 mg p.o.

[ "at", "bedtime", ",", "citalopram", "10", "mg", "p.o", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 12 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

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2022-12-07T10:15:38.922158

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daily, aspirin 500 mg three times a day, which is currently stopped, vitamin D, Premarin 0.3 mg one tablet p.o.

[ "daily", ",", "aspirin", "500", "mg", "three", "times", "a", "day", ",", "which", "is", "currently", "stopped", ",", "vitamin", "D", ",", "Premarin", "0.3", "mg", "one", "tablet", "p.o", "." ]

[ { "end": 14, "label": "KEYPHRASE", "score": 0, "start": 7 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.922479

null

,ALLERGIES: , The patient denies allergies to medications and to latex.

[ ",ALLERGIES", ":", ",", "The", "patient", "denies", "allergies", "to", "medications", "and", "to", "latex", "." ]

[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 46 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.923021

null

She is married, with 2 children aged 22 and 28.

[ " ", "She", "is", "married", ",", "with", "2", "children", "aged", "22", "and", "28", "." ]

[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 24 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

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2022-12-07T10:15:38.923522

null

,FAMILY HISTORY: ,Significant for high blood pressure and diabetes as well as cancer on her father side.

[ ",FAMILY", "HISTORY", ":", " ", ",", "Significant", "for", "high", "blood", "pressure", "and", "diabetes", "as", "well", "as", "cancer", "on", "her", "father", "side", "." ]

[ { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 40 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 59 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 79 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 93 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.924056

null

He did pass away from congestive heart failure.

[ " ", "He", "did", "pass", "away", "from", "congestive", "heart", "failure", "." ]

[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 23 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.924342

null

Mother suffers from high blood pressure, cancer, and diabetes.

[ " ", "Mother", "suffers", "from", "high", "blood", "pressure", ",", "cancer", ",", "and", "diabetes", "." ]

[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 54 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.924658

null

Her mother has passed away secondary to cancer.

[ " ", "Her", "mother", "has", "passed", "away", "secondary", "to", "cancer", "." ]

[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 41 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.924985

null

She has two brothers one passed away from brain cancer.

[ " ", "She", "has", "two", "brothers", "one", "passed", "away", "from", "brain", "cancer", "." ]

[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 43 }, { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 49 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

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2022-12-07T10:15:38.925267

null

,REVIEW OF SYSTEMS: , Significant for ankle swelling.

[ ",REVIEW", "OF", "SYSTEMS", ":", ",", "Significant", "for", "ankle", "swelling", "." ]

[ { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 38 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.925535

null

The patient also wears glasses for vision and has dentures.

[ " ", "The", "patient", "also", "wears", "glasses", "for", "vision", "and", "has", "dentures", "." ]

[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 36 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.925807

null

She does complain of shortness of breath with exertion.

[ " ", "She", "does", "complain", "of", "shortness", "of", "breath", "with", "exertion", "." ]

[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 22 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.926076

null

She also suffers from hemorrhoids and frequent urination at night as well as weightbearing joint pain.

[ " ", "She", "also", "suffers", "from", "hemorrhoids", "and", "frequent", "urination", "at", "night", "as", "well", "as", "weightbearing", "joint", "pain", "." ]

[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 91, "label": "KEYPHRASE", "score": 0, "start": 78 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 92 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.926378

null

The patient denies ulcerative colitis, Crohn disease, bleeding diathesis, liver disease, or kidney disease.

[ " ", "The", "patient", "denies", "ulcerative", "colitis", ",", "Crohn", "disease", ",", "bleeding", "diathesis", ",", "liver", "disease", ",", "or", "kidney", "disease", "." ]

[ { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 46 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 93 }, { "end": 107, "label": "KEYPHRASE", "score": 0, "start": 100 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.926714

null

She denies chest pain, cardiac disease, cancer, and stroke.

[ " ", "She", "denies", "chest", "pain", ",", "cardiac", "disease", ",", "cancer", ",", "and", "stroke", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 41 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 53 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.927071

null

,PHYSICAL EXAMINATION: ,The patient is a well-nourished, well-developed female, in no distress.

[ ",PHYSICAL", "EXAMINATION", ":", " ", ",", "The", "patient", "is", "a", "well", "-", "nourished", ",", "well", "-", "developed", "female", ",", "in", "no", "distress", "." ]

[ { "end": 72, "label": "KEYPHRASE", "score": 0, "start": 63 }, { "end": 95, "label": "KEYPHRASE", "score": 0, "start": 87 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.927406

null

Eye Exam: Pupils equal and reactive to light.

[ " ", "Eye", "Exam", ":", " ", "Pupils", "equal", "and", "reactive", "to", "light", "." ]

[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 29 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.927697

null

Extraocular motions are intact.

[ " ", "Extraocular", "motions", "are", "intact", "." ]

[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.927951

null

Neck Exam: No cervical lymphadenopathy.

[ " ", "Neck", "Exam", ":", " ", "No", "cervical", "lymphadenopathy", "." ]

[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 16 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.928212

null

Midline trachea.

[ " ", "Midline", "trachea", "." ]

[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 9 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.928450

null

No carotid bruits.

[ " ", "No", "carotid", "bruits", "." ]

[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 4 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.928685

null

Nonpalpable thyroid.

[ " ", "Nonpalpable", "thyroid", "." ]

[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 13 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.928915

null

Neuro Exam: Gross motor strength in the upper and lower extremities, equal bilaterally with no focal neuro deficits noted.

[ " ", "Neuro", "Exam", ":", " ", "Gross", "motor", "strength", "in", "the", "upper", "and", "lower", "extremities", ",", "equal", "bilaterally", "with", "no", "focal", "neuro", "deficits", "noted", "." ]

[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 71 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.929240

null

Lung Exam: Clear breath sounds without rhonchi or wheezes.

[ " ", "Lung", "Exam", ":", " ", "Clear", "breath", "sounds", "without", "rhonchi", "or", "wheezes", "." ]

[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 41 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 52 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.929543

null

Cardiac Exam: Regular rate and rhythm without murmur or bruits.

[ " ", "Cardiac", "Exam", ":", " ", "Regular", "rate", "and", "rhythm", "without", "murmur", "or", "bruits", "." ]

[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 48 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.929838

null

Abdominal Exam: Positive bowel sounds.

[ " ", "Abdominal", "Exam", ":", " ", "Positive", "bowel", "sounds", "." ]

[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 33 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.930147

null

Soft, nontender, obese, and nondistended abdomen.

[ " ", "Soft", ",", "nontender", ",", "obese", ",", "and", "nondistended", "abdomen", "." ]

[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 29 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 42 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.930457

null

Lap cholecystectomy scars noted.

[ " ", "Lap", "cholecystectomy", "scars", "noted", "." ]

[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 5 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.930723

null

No obvious hernias.

[ " ", "No", "obvious", "hernias", "." ]

[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 12 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:15:38.930967

null