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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 details for the patient admitted to the hospital on 2025-05-20 at 09:10 (Melisa Farrow):
- **Temperature**: 38.8°C
- **Pulse**: 102 bpm
- **Respiratory Rate**: 22/min
- **O2 Saturation**: 93% (room air)
- **Blood Pressure**: 114/68
- **Appearance**: Pale, visibly unwell, clutching left side with each cough
- **Auscultation**: Clear crackles in Left Lower Lobe (LLL), slightly diminished breath sounds in the 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
**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
**Actions**:
- Admitted to Danderyds Sjukhus – Internal Medicine Ward
- Method of transport: Sent via urgent care ambulance (non-emergency but priority)
- Time of admission: 10:15 AM