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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
Re-examination of Melisa Farrow on 2025-05-20 at 09:10:
Vitals:
- Temperature: 38.8°C
- Pulse: 102 bpm
- Respiratory Rate: 22/min
- O2 Sat: 93% (room air)
- BP: 114/68
Physical Examination:
- 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
Lab Results:
- CRP: 98 mg/L
- CBC: WBC of 13.7 x10⁹/L (elevated), Neutrophils of 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: Acute community-acquired pneumonia (CAP) - Left lower lobe with 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
Hospital admission followed at 10:15 AM via urgent care ambulance to Danderyds Sjukhus - Internal Medicine Ward.