Duration
12s
Input Tokens
5904
Output Tokens
810
Cost
$0.00
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
RE-EXAMINATION — 2025-05-20 @ 09:10 (Patient: Melisa Farrow)
VITAL SIGNS:
- Temperature: 38.8°C
- Pulse: 102 bpm
- Respiratory Rate: 22/min
- O2 Saturation: 93% (room air)
- BP: 114/68
- Appearance: Pale, visibly unwell, clutching left side with each cough
PHYSICAL EXAMINATION:
- 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 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
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:
- Admitted to: Danderyds Sjukhus – Internal Medicine Ward
- Method of transport: Urgent care ambulance (non-emergency but priority)
- Time of admission: 10:15 AM