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Physical examination revealed normal heart and lungs. | [
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{
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.114603 | null |
Abdomen was negative for abnormal findings. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.114755 | null |
,LABORATORY DATA:, BUN 19 and creatinine 1.1. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.114910 | null |
Blood group was A, Rh positive, Hemoglobin 13, Hematocrit 32.1, Prothrombin time 12.6 seconds, PTT 37.1. | [
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} | Default | 2022-12-07T10:14:27.115114 | null |
Discharge hemoglobin 11.4, and hematocrit 33.3. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.115281 | null |
Chest x-ray calcified old granulomatous disease, otherwise normal. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.115452 | null |
EKG was normal. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.115593 | null |
,COURSE IN THE HOSPITAL:, The patient had a cysto and TUR of the prostate. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.115775 | null |
The pathology report is pending at the time of dictation. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.116038 | null |
He is being discharged in satisfactory condition with a good urinary stream, minimal hematuria, and on Bactrim DS one a day for ten days with a standard postprostatic surgery instruction sheet. | [
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"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.116301 | null |
,DISCHARGE DIAGNOSIS: , Enlarged prostate with benign bladder neck obstruction. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.116506 | null |
PREOPERATIVE DIAGNOSIS: , Umbilical hernia. | [
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{
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.117902 | null |
,POSTOPERATIVE DIAGNOSIS: , Umbilical hernia. | [
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"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.118026 | null |
,PROCEDURE PERFORMED: , Repair of umbilical hernia. | [
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"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.118161 | null |
,PROCEDURE IN DETAIL: ,The patient was prepped and draped in the sterile fashion. | [
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} | Default | 2022-12-07T10:14:27.118556 | null |
An infraumbilical incision was formed and taken down to the fascia. | [
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} | Default | 2022-12-07T10:14:27.118717 | null |
The umbilical hernia carefully reduced back into the cavity, and the fascia was closed with interrupted vertical mattress sutures to approximate the fascia, and then the wounds were infiltrated with 0.25% Marcaine. | [
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"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.118987 | null |
The skin was reattached to the fascia with 2-0 Vicryls. | [
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} | Default | 2022-12-07T10:14:27.119215 | null |
The skin was approximated with 2-0 Vicryl subcutaneous and then 4-0 Monocryl subcuticular stitches, dressed with Steri-Strips and 4 x 4's. | [
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} | Default | 2022-12-07T10:14:27.119446 | null |
Patient was extubated and taken to the recovery area in stable condition. | [
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} | Default | 2022-12-07T10:14:27.119627 | null |
Sample Patient was seen on Month DD, YYYY, describing a vasectomy 10 years ago and a failed vasectomy reversal done almost two years ago at the University of Michigan. | [
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] | Argilla | null | null | null | {
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He has remained azoospermic postoperatively. | [
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} | Default | 2022-12-07T10:14:27.122535 | null |
The operative note suggests the presence of some sperm and sperm head on the right side at the time of the vasectomy reversal. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.122758 | null |
,He states that he is interested in sperm harvesting and cryopreservation prior to the next attempted ovulation induction for his wife. | [
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"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.122987 | null |
Apparently, several attempts at induction have been tried and due to some anatomic abnormality, they have been unsuccessful. | [
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"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.123205 | null |
,At the time that he left the office, he was asking for cryopreservation. | [
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"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.123384 | null |
At the time of sperm harvesting, I recently received a phone call suggesting that he does not want to do this at all unless his wife's ovulation has been confirmed and it appears then that he may be interested in a fresh specimen harvest. | [
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{
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.123701 | null |
I look forward to hearing from you regarding the actual plan so that we can arrange our procedure appropriately. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.123943 | null |
At his initial request, Month DD, YYYY was picked as the date for scheduled harvesting, although this may change if you require fresh specimen. | [
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"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.124175 | null |
PREOPERATIVE DIAGNOSIS:, Desire for sterility. | [
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{
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.125847 | null |
,POSTOPERATIVE DIAGNOSIS:, Desire for sterility. | [
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] | [
{
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}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.125993 | null |
,DESCRIPTION OF PROCEDURE: , The patient was brought to the suite, where after oral sedation, the scrotum was prepped and draped. | [
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{
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{
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},
{
"end": 128,
"label": "KEYPHRASE",
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"start": 110
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.126285 | null |
Then, 1% lidocaine was used for anesthesia. | [
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{
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}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.126459 | null |
The vas was identified, skin was incised, and no scalpel instruments were used to dissect out the vas. | [
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{
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"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.126667 | null |
A segment about 3 cm in length was dissected out. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.126841 | null |
It was clipped proximally and distally, and then the ends were cauterized after excising the segment. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.127043 | null |
Minimal bleeding was encountered and the scrotal skin was closed with 3-0 chromic. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.127302 | null |
The identical procedure was performed on the contralateral side. | [
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] | Argilla | null | null | null | {
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} | Default | 2022-12-07T10:14:27.127499 | null |
He was discharged from the surgical center in good condition with Tylenol with Codeine for pain. | [
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Call if there are questions or problems prior to that time. | [
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"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.128108 | null |
HISTORY OF PRESENT ILLNESS: , The patient presents today for followup. | [
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} | Default | 2022-12-07T10:14:27.130081 | null |
No dysuria, gross hematuria, fever, chills. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.130252 | null |
She continues to have urinary incontinence, especially while changing from sitting to standing position, as well as urge incontinence. | [
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} | Default | 2022-12-07T10:14:27.130473 | null |
She is voiding daytime every 1 hour in the morning especially after taking Lasix, which tapers off in the afternoon, nocturia time 0. | [
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} | Default | 2022-12-07T10:14:27.130723 | null |
No incontinence. | [
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} | Default | 2022-12-07T10:14:27.130876 | null |
No bowel issues, however, she also indicates that while using her vaginal cream, she has difficulty doing this as she feels protrusion in the vagina, and very concerned if she has a prolapse. | [
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"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.131337 | null |
The patient noted for improving retention of urine, postop vaginal reconstruction, very concerned of possible vaginal prolapse, especially while using the cream. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.131703 | null |
Rule out ascites, with no GI issues other than lower extremity edema. | [
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{
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.131983 | null |
She will follow up next week, request Dr. X to do a pelvic exam, and in the meantime, she will obtain a CT of the abdomen and pelvis to further evaluate the cause of the abdominal distention. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.132457 | null |
CHIEF COMPLAINT:, Urinary retention. | [
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{
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"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.138935 | null |
,HISTORY OF PRESENT ILLNESS: , This is a 66-year-old gentleman status post deceased donor kidney transplant in 12/07, who has had recurrent urinary retention issues since that time. | [
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"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.139331 | null |
Most recently, he was hospitalized on 02/04/08 for acute renal insufficiency, which was probably secondary to dehydration. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.139664 | null |
He was seen by urology again at this visit for urinary retention. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.139940 | null |
He had been seen by urology during a previous hospitalization and he passed his voiding trial at the time of his stent removal on 01/22/08. | [
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{
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.140263 | null |
Cystoscopy showed at that time obstructive BPH. | [
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{
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{
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"score": 0,
"start": 32
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.140527 | null |
He was started on Flomax at the time of discharge from the hospital. | [
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{
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"start": 41
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.140787 | null |
During the most recent readmission on 02/04/08, he went back into urinary retention and he had had a Foley placed at the outside hospital. | [
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{
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.141100 | null |
,REVIEW OF SYSTEMS:, Positive for blurred vision, nasal congestion, and occasional constipation. | [
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{
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] | Argilla | null | null | null | {
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} | Default | 2022-12-07T10:14:27.141395 | null |
Denies chest pain, shortness of breath or any rashes or lesions. | [
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] | Argilla | null | null | null | {
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} | Default | 2022-12-07T10:14:27.141668 | null |
End-stage renal disease, now status post deceased donor kidney transplant in 12/07.,2. | [
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{
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.142317 | null |
History of nephrolithiasis. | [
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] | [
{
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.142888 | null |
Deceased donor kidney transplant in 12/07.,2. | [
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"."
] | [
{
"end": 33,
"label": "KEYPHRASE",
"score": 0,
"start": 16
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.143943 | null |
Left forearm and left upper arm fistula placements. | [
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"."
] | [
{
"end": 13,
"label": "KEYPHRASE",
"score": 0,
"start": 6
},
{
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"score": 0,
"start": 29
},
{
"end": 40,
"label": "KEYPHRASE",
"score": 0,
"start": 33
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.144189 | null |
,FAMILY HISTORY: ,Significant for mother with an unknown type of cancer, possibly colon cancer or lung and prostate problems on his father side of the family. | [
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{
"end": 158,
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"start": 152
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.144549 | null |
He does not know whether his father side of the family had any history of prostate cancer. | [
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{
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{
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{
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"start": 64
},
{
"end": 90,
"label": "KEYPHRASE",
"score": 0,
"start": 75
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.144886 | null |
Sodium bicarbonate. | [
" ",
"Sodium",
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"."
] | [
{
"end": 19,
"label": "KEYPHRASE",
"score": 0,
"start": 8
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.147492 | null |
Nystatin swish and swallow. | [
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"."
] | [
{
"end": 27,
"label": "KEYPHRASE",
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"start": 20
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.150752 | null |
,ALLERGIES:, No known drug allergies. | [
",ALLERGIES",
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",",
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"."
] | [
{
"end": 37,
"label": "KEYPHRASE",
"score": 0,
"start": 28
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.151657 | null |
,PHYSICAL EXAMINATION:,GENERAL: This is a well-developed, well-nourished male, in no acute distress. | [
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"start": 74
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{
"end": 100,
"label": "KEYPHRASE",
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"start": 92
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.151960 | null |
VITAL SIGNS: Temperature 98, blood pressure 129/72, pulse 96, and weight 175.4 pounds. | [
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{
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"label": "KEYPHRASE",
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"start": 81
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.152296 | null |
CARDIOVASCULAR: Regular rate and rhythm with a 3/6 systolic murmur. | [
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},
{
"end": 68,
"label": "KEYPHRASE",
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"start": 62
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.152787 | null |
ABDOMEN: Right lower quadrant incision site scar well healed. | [
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"score": 0,
"start": 32
},
{
"end": 50,
"label": "KEYPHRASE",
"score": 0,
"start": 46
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.153069 | null |
Nontender to palpation. | [
" ",
"Nontender",
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"."
] | [
{
"end": 23,
"label": "KEYPHRASE",
"score": 0,
"start": 14
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.153306 | null |
Liver and spleen not enlarged. | [
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"."
] | [
{
"end": 17,
"label": "KEYPHRASE",
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"start": 11
},
{
"end": 30,
"label": "KEYPHRASE",
"score": 0,
"start": 22
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.153536 | null |
No hernias appreciated. | [
" ",
"No",
"hernias",
"appreciated",
"."
] | [
{
"end": 11,
"label": "KEYPHRASE",
"score": 0,
"start": 4
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.153762 | null |
PENIS: Normal male genitalia. | [
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"PENIS",
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" ",
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"."
] | [
{
"end": 20,
"label": "KEYPHRASE",
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"start": 16
},
{
"end": 30,
"label": "KEYPHRASE",
"score": 0,
"start": 21
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.153999 | null |
No lesions appreciated on the penis. | [
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"on",
"the",
"penis",
"."
] | [
{
"end": 11,
"label": "KEYPHRASE",
"score": 0,
"start": 4
},
{
"end": 36,
"label": "KEYPHRASE",
"score": 0,
"start": 31
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.154242 | null |
Previous DRE showed the prostate of approximately 40 grams and no nodules. | [
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] | [
{
"end": 33,
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},
{
"end": 74,
"label": "KEYPHRASE",
"score": 0,
"start": 67
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.154557 | null |
Foley in place and draining clear urine. | [
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"Foley",
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"and",
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"clear",
"urine",
"."
] | [
{
"end": 15,
"label": "KEYPHRASE",
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"start": 10
},
{
"end": 28,
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"score": 0,
"start": 20
},
{
"end": 40,
"label": "KEYPHRASE",
"score": 0,
"start": 35
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.154807 | null |
,The patient underwent fill and pull study, in which his bladder tolerated 120 ml of sterile water passively filling his bladder. | [
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"start": 85
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{
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"label": "KEYPHRASE",
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"start": 121
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.155111 | null |
He spontaneously voided without the Foley 110 mL.,ASSESSMENT AND PLAN: ,This is a 66-year-old male with signs and symptoms of benign prostatic hypertrophy, who has had recurrent urinary retention since the kidney transplant in 12/07. | [
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{
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}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.155542 | null |
He passed his fill and pull study and was thought to self-catheterize in the event that he does incur urinary retention again. | [
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] | [
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}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.155912 | null |
We discussed with Mr. Barker that he has a urologist closer to his home and he lives approximately 3 hours away; however, he desires to continue follow up with the urology clinic at MCG and has been set up for followup in 6 weeks. | [
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{
"end": 219,
"label": "KEYPHRASE",
"score": 0,
"start": 211
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.156352 | null |
He was also given a prescription for 6 months of Flomax and Proscar. | [
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"end": 46,
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.156683 | null |
He did not have a PSA drawn today as he had a catheter in place, therefore his PSA could be falsely elevated. | [
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{
"end": 64,
"label": "KEYPHRASE",
"score": 0,
"start": 59
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.157027 | null |
He will have PSA level drawn either just before his visit for followup. | [
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"end": 71,
"label": "KEYPHRASE",
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"start": 63
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.157327 | null |
CHIEF COMPLAINT: , Right distal ureteral calculus. | [
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] | [
{
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"start": 32
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{
"end": 49,
"label": "KEYPHRASE",
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"start": 41
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.160187 | null |
,HISTORY OF PRESENT ILLNESS: ,The patient had hematuria and a CT urogram at ABC Radiology on 01/04/07 showing a 1 cm non-obstructing calcification in the right distal ureter. | [
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{
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.160551 | null |
He had a KUB also showing a teardrop shaped calcification apparently in the right lower ureter. | [
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{
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{
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"score": 0,
"start": 83
},
{
"end": 95,
"label": "KEYPHRASE",
"score": 0,
"start": 89
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.160924 | null |
He comes in now for right ureteroscopy, Holmium laser lithotripsy, right ureteral stent placement. | [
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{
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"score": 0,
"start": 49
},
{
"end": 98,
"label": "KEYPHRASE",
"score": 0,
"start": 74
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.161164 | null |
Coronary artery disease. | [
" ",
"Coronary",
"artery",
"disease",
"."
] | [
{
"end": 24,
"label": "KEYPHRASE",
"score": 0,
"start": 10
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.161625 | null |
Right spermatocelectomy. | [
" ",
"Right",
"spermatocelectomy",
"."
] | [
{
"end": 24,
"label": "KEYPHRASE",
"score": 0,
"start": 7
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.161869 | null |
Left total knee replacement in 1987.,3. | [
" ",
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"replacement",
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"1987.,3",
"."
] | [
{
"end": 28,
"label": "KEYPHRASE",
"score": 0,
"start": 6
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.162115 | null |
Right knee in 2005.,MEDICATIONS:,1. | [
" ",
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"2005.,MEDICATIONS:,1",
"."
] | [
{
"end": 11,
"label": "KEYPHRASE",
"score": 0,
"start": 7
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.162263 | null |
,ALLERGIES: , NONE.,REVIEW OF SYSTEMS:, CARDIOPULMONARY: No shortness of breath or chest pain. | [
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"end": 81,
"label": "KEYPHRASE",
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{
"end": 95,
"label": "KEYPHRASE",
"score": 0,
"start": 85
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.162943 | null |
GI: No nausea, vomiting, diarrhea or constipation. | [
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{
"end": 51,
"label": "KEYPHRASE",
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"start": 39
}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.163144 | null |
MUSCULOSKELETAL: No weakness or strokes. | [
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"end": 41,
"label": "KEYPHRASE",
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}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.163428 | null |
,PHYSICAL EXAMINATION:,GENERAL APPEARANCE: An alert male in no distress. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.163751 | null |
,HEENT: Grossly normal. | [
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] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.163906 | null |
,HEART: Normal sinus rhythm. | [
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"end": 28,
"label": "KEYPHRASE",
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}
] | Argilla | null | null | null | {
"medical_specialty": " Urology"
} | Default | 2022-12-07T10:14:27.164253 | null |