Duration
14s
Input Tokens
7862
Output Tokens
711
Cost
$0.00
Context
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
RE-EXAMINATION OF MELISA FARROW - 2025-05-20 @ 09:10
Patient presented for unscheduled urgent care visit following overnight deterioration after initial consultation on 2025-05-19.
**Patient Contact Prior to Visit:**
Phone call at 08:12 reporting worsening symptoms: chills, increased pain when breathing, left side aches with coughing, dizziness, and fever of 38.5°C.
**Physical Examination Findings:**
- Temperature: 38.8°C (elevated from 38.5°C at home)
- Pulse: 102 bpm (tachycardia)
- Respiratory Rate: 22/min (elevated)
- O2 Saturation: 93% on room air (decreased from 96% on previous visit)
- Blood Pressure: 114/68
- General Appearance: Pale, visibly unwell, clutching left side with each cough
- Auscultation: Clear crackles in left lower lobe (LLL), slightly diminished breath sounds in same area
- Percussion: Dullness confirmed
**Laboratory Results:**
- CRP: 98 mg/L (significantly elevated)
- WBC: 13.7 x10⁹/L (elevated, indicating infection)
- Neutrophils: 9.6 x10⁹/L (elevated)
**Diagnostic Imaging:**
- ECG: Sinus tachycardia, no ischemia
- Chest X-ray (STAT reading): Infiltrate in left lower lobe with mild pleural effusion, consistent with community-acquired pneumonia
**Confirmed Diagnosis:**
- Acute community-acquired pneumonia (CAP) - Left lower lobe
- Pleuritic chest pain secondary to infection
- Status: Non-severe CAP but not suitable for home treatment due to oxygen saturation, systemic signs, and worsening symptoms
**Actions Taken:**
- Patient admitted to Danderyds Sjukhus - Internal Medicine Ward
- Transport: Urgent care ambulance (priority, non-emergency)
- Time of admission: 10:15 AM