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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 – 2025‑05‑20 @ 09:10**
- **Temperature:** 38.8 °C
- **Pulse:** 102 bpm
- **Respiratory Rate:** 22/min
- **O₂ Saturation:** 93 % (room air)
- **BP:** 114/68 mmHg
- **Appearance:** Pale, visibly unwell, clutching left chest with each cough
- **Auscultation:** Clear crackles in left lower lobe (LLL), slightly diminished breath sounds in the same area
- **Percussion:** Dullness confirmed in left lower lung field
- **CRP:** 98 mg/L (elevated)
- **CBC:**
- WBC: 13.7 ×10⁹/L (elevated)
- Neutrophils: 9.6 ×10⁹/L (elevated)
- **ECG:** Sinus tachycardia, no ischemia
- **Chest X‑ray (STAT):** Infiltrate in left lower lobe with mild pleural effusion, consistent with community‑acquired pneumonia
- **Diagnosis (confirmed):** Acute community‑acquired pneumonia (left lower lobe) with pleuritic chest pain
- **Disposition:** Admitted to Danderyds Sjukhus – Internal Medicine Ward; admission at 10:15 AM; treatment began with IV cefotaxime and oral doxycycline, plus supportive care.