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The patient will follow up after RAST allergy testing for further treatment recommendations.
[ " ", "The", "patient", "will", "follow", "up", "after", "RAST", "allergy", "testing", "for", "further", "treatment", "recommendations", "." ]
[ { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 67 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.346017
null
At this point, no changes in her medication were prescribed until her followup visit.
[ " ", "At", "this", "point", ",", "no", "changes", "in", "her", "medication", "were", "prescribed", "until", "her", "followup", "visit", "." ]
[ { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 71 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.346218
null
HISTORY:, I had the pleasure of meeting and evaluating the patient referred today for evaluation and treatment of chronic sinusitis.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.350815
null
As you are well aware, she is a pleasant 50-year-old female who states she started having severe sinusitis about two to three months ago with facial discomfort, nasal congestion, eye pain, and postnasal drip symptoms.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.351356
null
She states she really has sinus problems, but this infection has been rather severe and she notes she has not had much improvement with antibiotics.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.351848
null
She had a CT of her paranasal sinuses identifying mild mucosal thickening of right paranasal sinuses with occlusion of the ostiomeatal complex on the right and turbinate hypertrophy was also noted when I reviewed the films and there is some minimal nasal septum deviation to the left.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.352434
null
She currently is not taking any medication for her sinuses.
[ " ", "She", "currently", "is", "not", "taking", "any", "medication", "for", "her", "sinuses", "." ]
[ { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 52 } ]
Argilla
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{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.352832
null
She also has noted that she is having some problems with her balance and possible hearing loss or at least ear popping and fullness.
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Argilla
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null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.353243
null
Her audiogram today demonstrated mild high frequency sensorineural hearing loss, normal tympanometry, and normal speech discrimination.
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Argilla
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null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.353658
null
She has tried topical nasal corticosteroid therapy without much improvement.
[ " ", "She", "has", "tried", "topical", "nasal", "corticosteroid", "therapy", "without", "much", "improvement", "." ]
[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 44 } ]
Argilla
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null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.354030
null
She tried Allegra without much improvement and she believes the Allegra may have caused problems with balance to worsen.
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[ { "end": 110, "label": "KEYPHRASE", "score": 0, "start": 103 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.354411
null
She notes her dizziness to be much worse if she does quick positional changes such as head turning or sudden movements, no ear fullness, pressure, humming, buzzing or roaring noted in her ears.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.354889
null
She denies any previous history of sinus surgery or nasal injury.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.355283
null
She believes she has some degree of allergy symptoms.
[ " ", "She", "believes", "she", "has", "some", "degree", "of", "allergy", "symptoms", "." ]
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Argilla
null
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null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.355632
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,PAST MEDICAL HISTORY: ,Seasonal allergies, possible food allergies, chronic sinusitis, hypertension and history of weight change.
[ ",PAST", "MEDICAL", "HISTORY", ":", " ", ",", "Seasonal", "allergies", ",", "possible", "food", "allergies", ",", "chronic", "sinusitis", ",", "hypertension", "and", "history", "of", "weight", "change", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.356037
null
She is currently 180 pounds.
[ " ", "She", "is", "currently", "180", "pounds", "." ]
[ { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 22 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.356394
null
,PAST SURGICAL HISTORY:, Lower extremity vein stripping, tonsillectomy and adenoidectomy.
[ ",PAST", "SURGICAL", "HISTORY", ":", ",", " ", "Lower", "extremity", "vein", "stripping", ",", "tonsillectomy", "and", "adenoidectomy", "." ]
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Argilla
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null
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{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.356746
null
,FAMILY HISTORY: , Strong for heart disease and alcoholism.
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[ { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 30 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.357094
null
She rarely drinks any alcohol-containing beverages.
[ " ", "She", "rarely", "drinks", "any", "alcohol", "-", "containing", "beverages", "." ]
[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 23 } ]
Argilla
null
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null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.358610
null
,PHYSICAL EXAMINATION: ,VITAL SIGNS: Age 50, blood pressure is 136/74, pulse 84, temperature is 98.4, weight is 180 pounds, and height is 5 feet 3 inches.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.359068
null
,GENERAL: The patient is healthy appearing; alert and oriented to person, place and time; responds appropriately; in no acute distress.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.359519
null
No masses or lesions noted.
[ " ", "No", "masses", "or", "lesions", "noted", "." ]
[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 14 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.360143
null
,FACE: No facial tenderness or asymmetry noted.
[ ",FACE", ":", " ", "No", "facial", "tenderness", "or", "asymmetry", "noted", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.360481
null
,EYES: Pupils are equal, round and reactive to light and accommodation bilaterally.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.360842
null
Extraocular movements are intact bilaterally.
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[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 27 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.361209
null
No nystagmus.
[ " ", "No", "nystagmus", "." ]
[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 4 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.361513
null
,EARS: During Hallpike examination, the patient did not become dizzy until she would be placed back into sitting in the upright position.
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Argilla
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null
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{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.361907
null
No nystagmus was appreciated; however, the patient did subjectively report dizziness, which was repeated twice.
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Argilla
null
null
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{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.362307
null
No evidence of any orthostatic hypotension was noted during the exam.
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[ { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 20 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.362662
null
Tympanic membranes were noted to be intact.
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[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 37 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.362988
null
No signs of middle ear effusion or ear canal inflammation.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.363335
null
Turbinate hypertrophy is noted.
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[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 11 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.363938
null
There are no signs of any acute sinusitis.
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[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 33 } ]
Argilla
null
null
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{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.364268
null
Septum is midline, slightly deviated to the left.
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[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 29 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.364605
null
No masses or lesions noted.
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[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 14 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.365475
null
Both vocal cords move well to midline.
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[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 31 } ]
Argilla
null
null
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{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.365799
null
,NECK: The neck is supple with no adenopathy or masses palpated.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.366149
null
The trachea is midline.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.366471
null
The thyroid gland is of normal size with no nodules.
[ " ", "The", "thyroid", "gland", "is", "of", "normal", "size", "with", "no", "nodules", "." ]
[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 45 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.366810
null
,HEART: Regular rate and rhythm.
[ ",HEART", ":", " ", "Regular", "rate", "and", "rhythm", "." ]
[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 26 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.367670
null
No murmur noted.
[ " ", "No", "murmur", "noted", "." ]
[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.367973
null
,NEUROLOGIC: Facial nerve is intact bilaterally.
[ ",NEUROLOGIC", ":", " ", "Facial", "nerve", "is", "intact", "bilaterally", "." ]
[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 30 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.368313
null
The remaining cranial nerves are intact without focal deficit.
[ " ", "The", "remaining", "cranial", "nerves", "are", "intact", "without", "focal", "deficit", "." ]
[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 34 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.368647
null
,PROCEDURE: , Fiberoptic nasopharyngoscopy identifying turbinate hypertrophy and nasal septum deviation to the left, more significant posteriorly.
[ ",PROCEDURE", ":", ",", "Fiberoptic", "nasopharyngoscopy", "identifying", "turbinate", "hypertrophy", "and", "nasal", "septum", "deviation", "to", "the", "left", ",", "more", "significant", "posteriorly", "." ]
[ { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 93, "label": "KEYPHRASE", "score": 0, "start": 81 }, { "end": 145, "label": "KEYPHRASE", "score": 0, "start": 134 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.369038
null
Probable increasing problems with allergic rhinitis and chronic sinusitis, both contributing to the patient's symptoms.
[ " ", "Probable", "increasing", "problems", "with", "allergic", "rhinitis", "and", "chronic", "sinusitis", ",", "both", "contributing", "to", "the", "patient", "'s", "symptoms", "." ]
[ { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 57 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 65 }, { "end": 119, "label": "KEYPHRASE", "score": 0, "start": 111 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.369703
null
Subjective dizziness, etiology uncertain; however, consider positional vertigo versus vestibular neuronitis as possible ear causes of dizziness, cannot rule out systemic, central or medication or causes at this time.
[ " ", "Subjective", "dizziness", ",", "etiology", "uncertain", ";", "however", ",", "consider", "positional", "vertigo", "versus", "vestibular", "neuronitis", "as", "possible", "ear", "causes", "of", "dizziness", ",", "can", "not", "rule", "out", "systemic", ",", "central", "or", "medication", "or", "causes", "at", "this", "time", "." ]
[ { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 97, "label": "KEYPHRASE", "score": 0, "start": 87 }, { "end": 124, "label": "KEYPHRASE", "score": 0, "start": 121 }, { "end": 144, "label": "KEYPHRASE", "score": 0, "start": 135 }, { "end": 179, "label": "KEYPHRASE", "score": 0, "start": 172 }, { "end": 193, "label": "KEYPHRASE", "score": 0, "start": 183 }, { "end": 216, "label": "KEYPHRASE", "score": 0, "start": 212 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.370467
null
Inferior turbinate hypertrophy.
[ " ", "Inferior", "turbinate", "hypertrophy", "." ]
[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 10 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.371079
null
Nasal septum deformity.
[ " ", "Nasal", "septum", "deformity", "." ]
[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 14 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.371628
null
,RECOMMENDATIONS:, An ENG was ordered to evaluate vestibular function.
[ ",RECOMMENDATIONS", ":", ",", " ", "An", "ENG", "was", "ordered", "to", "evaluate", "vestibular", "function", "." ]
[ { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 62 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.371975
null
She was placed on Veramyst nasal spray two sprays each nostril daily and even twice daily if symptoms are worsening.
[ " ", "She", "was", "placed", "on", "Veramyst", "nasal", "spray", "two", "sprays", "each", "nostril", "daily", "and", "even", "twice", "daily", "if", "symptoms", "are", "worsening", "." ]
[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 44 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 94 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.372366
null
The patient was given instruction on use of nasal saline irrigation to be used twice daily and Clarinex 5 mg daily was recommended.
[ " ", "The", "patient", "was", "given", "instruction", "on", "use", "of", "nasal", "saline", "irrigation", "to", "be", "used", "twice", "daily", "and", "Clarinex", "5", "mg", "daily", "was", "recommended", "." ]
[ { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 58 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.373060
null
After the patients' ENG examination, we will see the patient back for further evaluation and treatment recommendations.
[ " ", "After", "the", "patients", "'", "ENG", "examination", ",", "we", "will", "see", "the", "patient", "back", "for", "further", "evaluation", "and", "treatment", "recommendations", "." ]
[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 79 }, { "end": 103, "label": "KEYPHRASE", "score": 0, "start": 94 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.373464
null
In light of the patient's atypical dizziness symptoms, I cannot rule out other pathology at this time, and I informed her if there are any acute changes or problems with regards to her balance or any other acute changes, which she attributes associated with her dizziness, she most likely should pursue an emergent visit to the emergency room.
[ " ", "In", "light", "of", "the", "patient", "'s", "atypical", "dizziness", "symptoms", ",", "I", "can", "not", "rule", "out", "other", "pathology", "at", "this", "time", ",", "and", "I", "informed", "her", "if", "there", "are", "any", "acute", "changes", "or", "problems", "with", "regards", "to", "her", "balance", "or", "any", "other", "acute", "changes", ",", "which", "she", "attributes", "associated", "with", "her", "dizziness", ",", "she", "most", "likely", "should", "pursue", "an", "emergent", "visit", "to", "the", "emergency", "room", "." ]
[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 46 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 80 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 98 }, { "end": 193, "label": "KEYPHRASE", "score": 0, "start": 186 }, { "end": 272, "label": "KEYPHRASE", "score": 0, "start": 263 }, { "end": 343, "label": "KEYPHRASE", "score": 0, "start": 329 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.374088
null
,Thank you for allowing me to participate with the care of your patient.
[ ",Thank", "you", "for", "allowing", "me", "to", "participate", "with", "the", "care", "of", "your", "patient", "." ]
[ { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 51 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.374519
null
ADMITTING DIAGNOSIS: , Kawasaki disease.
[ "ADMITTING", "DIAGNOSIS", ":", ",", "Kawasaki", "disease", "." ]
[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 32 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.375876
null
,DISCHARGE DIAGNOSIS:, Kawasaki disease, resolving.
[ ",DISCHARGE", "DIAGNOSIS", ":", ",", " ", "Kawasaki", "disease", ",", "resolving", "." ]
[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 33 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.376047
null
,HOSPITAL COURSE:, This is a 14-month-old baby boy Caucasian who came in with presumptive diagnosis of Kawasaki with fever for more than 5 days and conjunctivitis, mild arthritis with edema, rash, resolving and with elevated neutrophils and thrombocytosis, elevated CRP and ESR.
[ ",HOSPITAL", "COURSE", ":", ",", " ", "This", "is", "a", "14", "-", "month", "-", "old", "baby", "boy", "Caucasian", "who", "came", "in", "with", "presumptive", "diagnosis", "of", "Kawasaki", "with", "fever", "for", "more", "than", "5", "days", "and", "conjunctivitis", ",", "mild", "arthritis", "with", "edema", ",", "rash", ",", "resolving", "and", "with", "elevated", "neutrophils", "and", "thrombocytosis", ",", "elevated", "CRP", "and", "ESR", "." ]
[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 43 }, { "end": 123, "label": "KEYPHRASE", "score": 0, "start": 118 }, { "end": 163, "label": "KEYPHRASE", "score": 0, "start": 149 }, { "end": 179, "label": "KEYPHRASE", "score": 0, "start": 170 }, { "end": 190, "label": "KEYPHRASE", "score": 0, "start": 185 }, { "end": 196, "label": "KEYPHRASE", "score": 0, "start": 192 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.376413
null
When he was sent to the hospital, he had a fever of 102.
[ " ", "When", "he", "was", "sent", "to", "the", "hospital", ",", "he", "had", "a", "fever", "of", "102", "." ]
[ { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 44 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.376665
null
Subsequently, the patient was evaluated and based on the criteria, he was started on high dose of aspirin and IVIG.
[ " ", "Subsequently", ",", "the", "patient", "was", "evaluated", "and", "based", "on", "the", "criteria", ",", "he", "was", "started", "on", "high", "dose", "of", "aspirin", "and", "IVIG", "." ]
[ { "end": 95, "label": "KEYPHRASE", "score": 0, "start": 91 }, { "end": 106, "label": "KEYPHRASE", "score": 0, "start": 99 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.376897
null
IVIG was done x1, and between 12 hours of IVIG, he spiked fever again; it was repeated twice, and then after second IVIG, he did not spike any more fever.
[ " ", "IVIG", "was", "done", "x1", ",", "and", "between", "12", "hours", "of", "IVIG", ",", "he", "spiked", "fever", "again", ";", "it", "was", "repeated", "twice", ",", "and", "then", "after", "second", "IVIG", ",", "he", "did", "not", "spike", "any", "more", "fever", "." ]
[ { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 59 }, { "end": 154, "label": "KEYPHRASE", "score": 0, "start": 149 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.377313
null
Today, his fever and his rash have completely resolved.
[ " ", "Today", ",", "his", "fever", "and", "his", "rash", "have", "completely", "resolved", "." ]
[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 26 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.377519
null
He does not have any conjunctivitis and no redness of mucous membranes.
[ " ", "He", "does", "not", "have", "any", "conjunctivitis", "and", "no", "redness", "of", "mucous", "membranes", "." ]
[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 44 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 55 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.377707
null
so with a very close followup and a cardiac followup, he will be sent home.
[ "so", "with", "a", "very", "close", "followup", "and", "a", "cardiac", "followup", ",", "he", "will", "be", "sent", "home", "." ]
[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 44 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.378040
null
,DISCHARGE MEDICATIONS: , Aspirin high dose 340 mg q.6h.
[ ",DISCHARGE", "MEDICATIONS", ":", ",", "Aspirin", "high", "dose", "340", "mg", "q.6h", "." ]
[ { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 39 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.378473
null
for 1 day and then aspirin low dose 40 mg q.d.
[ "for", "1", "day", "and", "then", "aspirin", "low", "dose", "40", "mg", "q.d", "." ]
[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 31 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.378651
null
for 14 days and then Prevacid also to prevent his GI from aspirin 15 mg p.o.
[ "for", "14", "days", "and", "then", "Prevacid", "also", "to", "prevent", "his", "GI", "from", "aspirin", "15", "mg", "p.o", "." ]
[ { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 58 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.378847
null
Cardiology for echo followup in 4 to 6 weeks and instructed not to give any vaccine in less than 11 months because of IVIG, all the live virus vaccine, and if he gets any rashes, any fevers, should go to primary care doctor as soon as possible.
[ " ", "Cardiology", "for", "echo", "followup", "in", "4", "to", "6", "weeks", "and", "instructed", "not", "to", "give", "any", "vaccine", "in", "less", "than", "11", "months", "because", "of", "IVIG", ",", "all", "the", "live", "virus", "vaccine", ",", "and", "if", "he", "gets", "any", "rashes", ",", "any", "fevers", ",", "should", "go", "to", "primary", "care", "doctor", "as", "soon", "as", "possible", "." ]
[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 77 }, { "end": 107, "label": "KEYPHRASE", "score": 0, "start": 101 }, { "end": 151, "label": "KEYPHRASE", "score": 0, "start": 144 }, { "end": 178, "label": "KEYPHRASE", "score": 0, "start": 172 }, { "end": 190, "label": "KEYPHRASE", "score": 0, "start": 184 }, { "end": 217, "label": "KEYPHRASE", "score": 0, "start": 213 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.379502
null
SUBJECTIVE: , This is a 42-year-old white female who comes in today for a complete physical and follow up on asthma.
[ "SUBJECTIVE", ":", ",", "This", "is", "a", "42", "-", "year", "-", "old", "white", "female", "who", "comes", "in", "today", "for", "a", "complete", "physical", "and", "follow", "up", "on", "asthma", "." ]
[ { "end": 91, "label": "KEYPHRASE", "score": 0, "start": 83 }, { "end": 115, "label": "KEYPHRASE", "score": 0, "start": 109 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.383667
null
She says her asthma has been worse over the last three months.
[ " ", "She", "says", "her", "asthma", "has", "been", "worse", "over", "the", "last", "three", "months", "." ]
[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 56 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.383999
null
She has been using her inhaler daily.
[ " ", "She", "has", "been", "using", "her", "inhaler", "daily", "." ]
[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 24 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.384275
null
Her allergies seem to be a little bit worse as well.
[ " ", "Her", "allergies", "seem", "to", "be", "a", "little", "bit", "worse", "as", "well", "." ]
[ { "end": 14, "label": "KEYPHRASE", "score": 0, "start": 5 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.384559
null
She also notes that in the past she was on Advair but she got some vaginal irritation with that.
[ " ", "She", "also", "notes", "that", "in", "the", "past", "she", "was", "on", "Advair", "but", "she", "got", "some", "vaginal", "irritation", "with", "that", "." ]
[ { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 68 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.385635
null
,She had been noticing increasing symptoms of irritability and PMS around her menstrual cycle.
[ ",She", "had", "been", "noticing", "increasing", "symptoms", "of", "irritability", "and", "PMS", "around", "her", "menstrual", "cycle", "." ]
[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.385940
null
She has been more impatient around that time.
[ " ", "She", "has", "been", "more", "impatient", "around", "that", "time", "." ]
[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 41 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.386221
null
Says otherwise her mood is normal during the rest of the month.
[ " ", "Says", "otherwise", "her", "mood", "is", "normal", "during", "the", "rest", "of", "the", "month", "." ]
[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 28 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.386509
null
She denies any hot flashes or night sweats with this.
[ " ", "She", "denies", "any", "hot", "flashes", "or", "night", "sweats", "with", "this", "." ]
[ { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 31 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.387526
null
In reviewing the chart it is noted that she did have 3+ blood with what appeared to be a urinary tract infection previously.
[ " ", "In", "reviewing", "the", "chart", "it", "is", "noted", "that", "she", "did", "have", "3", "+", "blood", "with", "what", "appeared", "to", "be", "a", "urinary", "tract", "infection", "previously", "." ]
[ { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 57 }, { "end": 113, "label": "KEYPHRASE", "score": 0, "start": 90 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.387869
null
Her urine has not been rechecked.
[ " ", "Her", "urine", "has", "not", "been", "rechecked", "." ]
[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 5 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.388155
null
She recently had lab work and cholesterol drawn for a life insurance application and is going to send me those results when available.
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[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 31 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 60 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.388501
null
No fevers, no headaches, no shortness of breath currently.
[ " ", "No", "fevers", ",", "no", "headaches", ",", "no", "shortness", "of", "breath", "currently", "." ]
[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 29 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.389041
null
No chest pain or tightness.
[ " ", "No", "chest", "pain", "or", "tightness", "." ]
[ { "end": 14, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 18 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.389524
null
No abdominal pain, no heartburn, no constipation, diarrhea or dysuria.
[ " ", "No", "abdominal", "pain", ",", "no", "heartburn", ",", "no", "constipation", ",", "diarrhea", "or", "dysuria", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.389847
null
Occasional stress incontinence.
[ " ", "Occasional", "stress", "incontinence", "." ]
[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 19 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.390119
null
No muscle or joint pain.
[ " ", "No", "muscle", "or", "joint", "pain", "." ]
[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 14 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.390379
null
No concerns about her skin.
[ " ", "No", "concerns", "about", "her", "skin", "." ]
[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 23 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.390696
null
No polyphagia, polydipsia or polyuria.
[ " ", "No", "polyphagia", ",", "polydipsia", "or", "polyuria", "." ]
[ { "end": 14, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 30 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.391012
null
,PAST MEDICAL HISTORY: , Significant for asthma, allergic rhinitis and cervical dysplasia.
[ ",PAST", "MEDICAL", "HISTORY", ":", ",", "Significant", "for", "asthma", ",", "allergic", "rhinitis", "and", "cervical", "dysplasia", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.391347
null
,OBJECTIVE:,Vital signs: Her weight is 151 pounds.
[ ",OBJECTIVE:,Vital", "signs", ":", " ", "Her", "weight", "is", "151", "pounds", "." ]
[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 44 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.392511
null
Blood pressure is 110/60.
[ " ", "Blood", "pressure", "is", "110/60", "." ]
[ { "end": 15, "label": "KEYPHRASE", "score": 0, "start": 7 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.392778
null
Respirations are 20.,General: This is a well-developed, well-nourished 42-year-old white female, alert and oriented in no acute distress.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.393570
null
,HEENT: Normocephalic, atraumatic.
[ ",HEENT", ":", " ", "Normocephalic", ",", "atraumatic", "." ]
[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 24 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.394091
null
Tympanic membranes are clear.
[ " ", "Tympanic", "membranes", "are", "clear", "." ]
[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 10 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.394349
null
Pupils are equal, round and reactive to light.
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Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.394838
null
Nares without turbinate edema.
[ " ", "Nares", "without", "turbinate", "edema", "." ]
[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 25 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.395108
null
,Neck: Supple without lymphadenopathy, thyromegaly, carotid bruit or JVD.,Chest: Clear to auscultation bilaterally.
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[ { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 53 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.395640
null
,Cardiovascular: Regular rate and rhythm without murmur.
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[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 50 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.395934
null
,Abdomen: Soft, nontender, nondistended.
[ ",Abdomen", ":", " ", "Soft", ",", "nontender", ",", "nondistended", "." ]
[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 28 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.396210
null
Normoactive bowel sounds.
[ " ", "Normoactive", "bowel", "sounds", "." ]
[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 19 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.396465
null
No masses or organomegaly to palpation.
[ " ", "No", "masses", "or", "organomegaly", "to", "palpation", "." ]
[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 30 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.396734
null
,Extremities: Without cyanosis or edema.
[ ",Extremities", ":", " ", "Without", "cyanosis", "or", "edema", "." ]
[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 35 } ]
Argilla
null
null
null
{ "medical_specialty": " Allergy / Immunology" }
Default
2022-12-07T10:15:39.396999
null