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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
The re-examination of the patient Melisa Farrow admitted to the hospital on 2025-05-20 at 09:10 revealed the following clinical findings: Temperature 38.8°C, Pulse 102 bpm, Respiratory Rate 22/min, Oxygen Saturation 93% on room air, Blood Pressure 114/68, appearance pale and visibly unwell with left side pain during cough. Auscultation noted clear crackles and diminished breath sounds in the left lower lobe, with percussion confirming dullness. Laboratory tests showed elevated CRP (98 mg/L), elevated WBC (13.7 x10⁹/L), and neutrophils (9.6 x10⁹/L). ECG indicated sinus tachycardia without ischemia. Chest X-ray showed infiltrate in left lower lobe and mild pleural effusion, consistent with community-acquired pneumonia (CAP). The patient was diagnosed with acute non-severe CAP and pleuritic chest pain secondary to infection, was admitted to Danderyds Sjukhus Internal Medicine ward at 10:15 AM, and started on IV Cefotaxime, oral Doxycycline, supportive treatments including paracetamol, IV fluids, and oxygen therapy. The patient showed clinical improvement with resolving fever and reduced oxygen needs within 24 hours, and was discharged on 2025-05-23 with oral antibiotics and follow-up.