Duration
50s
Input Tokens
6806
Output Tokens
480
Cost
$0.01
Context
Input
Return the Re-examination of the patient admitted to the hospital 2025-05-20 at 09.10Expected 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 pneumoniaModel output
The re-examination of the patient (Melisa Farrow) on 2025-05-20 at 09:10 is documented as follows:
**Examination Findings:**
- Temperature: 38.8°C
- Pulse: 102 bpm
- Respiratory Rate: 22/min
- O2 Saturation: 93% on room air
- Blood Pressure: 114/68
- Appearance: Pale, visibly unwell, clutching left side with each cough
- Auscultation: Clear crackles in the left lower lobe (LLL), slightly diminished breath sounds in same area
- Percussion: Dullness confirmed
**Test Results (STAT):**
- CRP: 98 mg/L
- CBC: 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
**Diagnosis (Confirmed):**
- 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
**Immediate Actions:**
- Patient was admitted to Danderyds Sjukhus – Internal Medicine Ward.
- Transport: Urgent care ambulance (non-emergency priority).
- Admission time: 10:15 AM.