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Input
Return the Re-examination of the patient admitted to the hospital 2025-05-20 at 09.10
Expected output
Temperature: 38.8°C, Pulse: 102 bpm, Respiratory Rate: 22/min, O2 Sat: 93% (room air), BP: 114/68, Appearance: Pale, visibly unwell, clutching left side with each cough, Auscultation: Clear crackles LLL (Left Lower Lobe), slightly diminished breath sounds in same area, Percussion: Dullness confirmed, CRP: 98 mg/L, CBC:, WBC: 13.7 x10⁹/L (elevated), Neutrophils: 9.6 x10⁹/L, ECG: Sinus tachycardia, no ischemia, Chest X-ray (STAT reading):, Infiltrate in left lower lobe, mild pleural effusion, Consistent with community-acquired pneumonia
Model output
On May 20th, 2025 at 09:10, Melisa Farrow was re-examined after calling to report worsening symptoms. The examination showed:
- Temperature: 38.8°C
- Pulse: 102 bpm
- Respiratory Rate: 22/min
- O2 Saturation: 93% (room air)
- Blood Pressure: 114/68
- Physical appearance: Pale, visibly unwell, clutching left side when coughing
- Auscultation: Clear crackles in Left Lower Lobe (LLL), slightly diminished breath sounds in same area
- Percussion: Dullness confirmed
- CRP: 98 mg/L
- WBC: 13.7 x10⁹/L (elevated)
- Neutrophils: 9.6 x10⁹/L
- ECG: Sinus tachycardia, no ischemia
- Chest X-ray: Infiltrate in left lower lobe, mild pleural effusion, consistent with community-acquired pneumonia
This examination confirmed the diagnosis of acute community-acquired pneumonia in the left lower lobe with pleuritic chest pain. Due to her oxygen saturation, systemic signs, and worsening symptoms, she was admitted to Danderyds Sjukhus – Internal Medicine Ward at 10:15 AM via urgent care ambulance.