argilla/medical-keywords · Datasets at Hugging Face

text stringlengths 5 1.33k	tokens sequence	prediction list	prediction_agent stringclasses 1 value	annotation null	annotation_agent null	id null	metadata dict	status stringclasses 1 value	event_timestamp timestamp[us]	metrics null
,Skin: Without abnormalities.	[ ",Skin", ":", " ", "Without", "abnormalities", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 16 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.397252	null
,Breasts: Normal symmetrical breasts without dimpling or retraction.	[ ",Breasts", ":", " ", "Normal", "symmetrical", "breasts", "without", "dimpling", "or", "retraction", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 46 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.397529	null
No nipple discharge.	[ " ", "No", "nipple", "discharge", "." ]	[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 4 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.397787	null
No masses or lesions to palpation.	[ " ", "No", "masses", "or", "lesions", "to", "palpation", "." ]	[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 25 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.398057	null
No axillary masses or lymphadenopathy.	[ " ", "No", "axillary", "masses", "or", "lymphadenopathy", "." ]	[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 23 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.398329	null
,Genitourinary: Normal external genitalia.	[ ",Genitourinary", ":", " ", "Normal", "external", "genitalia", "." ]	[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 24 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.398606	null
The walls of the vaginal vault are visualized with normal pink rugae with no lesions noted.	[ " ", "The", "walls", "of", "the", "vaginal", "vault", "are", "visualized", "with", "normal", "pink", "rugae", "with", "no", "lesions", "noted", "." ]	[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 78 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.398919	null
Cervix is visualized without lesion.	[ " ", "Cervix", "is", "visualized", "without", "lesion", "." ]	[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 30 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.399243	null
She has a moderate amount of thick white/yellow vaginal discharge in the vaginal vault.	[ " ", "She", "has", "a", "moderate", "amount", "of", "thick", "white", "/", "yellow", "vaginal", "discharge", "in", "the", "vaginal", "vault", "." ]	[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 49 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 57 }, { "end": 87, "label": "KEYPHRASE", "score": 0, "start": 74 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.399603	null
No cervical motion tenderness.	[ " ", "No", "cervical", "motion", "tenderness", "." ]	[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 20 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.399892	null
No adnexal tenderness or fullness.	[ " ", "No", "adnexal", "tenderness", "or", "fullness", "." ]	[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 26 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.400166	null
She is just using her Proventil inhaler but is using it daily.	[ " ", "She", "is", "just", "using", "her", "Proventil", "inhaler", "but", "is", "using", "it", "daily", "." ]	[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 33 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.401104	null
May need to increase the dose.	[ " ", "May", "need", "to", "increase", "the", "dose", "." ]	[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 26 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.401804	null
She did get some vaginal irritation with Advair in the past but she is willing to retry that if it is necessary.	[ " ", "She", "did", "get", "some", "vaginal", "irritation", "with", "Advair", "in", "the", "past", "but", "she", "is", "willing", "to", "retry", "that", "if", "it", "is", "necessary", "." ]	[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 18 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.402140	null
If her shortness of breath worsens she is to call me or go into the emergency department.	[ " ", "If", "her", "shortness", "of", "breath", "worsens", "she", "is", "to", "call", "me", "or", "go", "into", "the", "emergency", "department", "." ]	[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 69 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.402924	null
Allergic rhinitis.	[ " ", "Allergic", "rhinitis", "." ]	[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 10 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.403619	null
We will plan on restarting Allegra and Flonase daily for the time being.	[ " ", "We", "will", "plan", "on", "restarting", "Allegra", "and", "Flonase", "daily", "for", "the", "time", "being", "." ]	[ { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 62 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.403910	null
Premenstrual dysphoric disorder.	[ " ", "Premenstrual", "dysphoric", "disorder", "." ]	[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 24 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.404369	null
She may have some perimenopausal symptoms.	[ " ", "She", "may", "have", "some", "perimenopausal", "symptoms", "." ]	[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.404639	null
Likely this is secondary to urinary tract infection but we will repeat a UA to document clearing.	[ " ", "Likely", "this", "is", "secondary", "to", "urinary", "tract", "infection", "but", "we", "will", "repeat", "a", "UA", "to", "document", "clearing", "." ]	[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 29 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.405820	null
She does have some frequent dysuria but is not having it currently.	[ " ", "She", "does", "have", "some", "frequent", "dysuria", "but", "is", "not", "having", "it", "currently", "." ]	[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 29 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.406127	null
Cervical dysplasia.	[ " ", "Cervical", "dysplasia", "." ]	[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 10 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.406584	null
Pap smear is taken.	[ " ", "Pap", "smear", "is", "taken", "." ]	[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 5 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.406834	null
If normal we will go back to yearly Pap smear.	[ " ", "If", "normal", "we", "will", "go", "back", "to", "yearly", "Pap", "smear", "." ]	[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 41 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.407342	null
She is scheduled for screening mammogram and instructed on monthly self-breast exam techniques.	[ " ", "She", "is", "scheduled", "for", "screening", "mammogram", "and", "instructed", "on", "monthly", "self", "-", "breast", "exam", "techniques", "." ]	[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 73 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.407669	null
Recommend she get 1200 mg of calcium and 400 U of vitamin D a day.	[ " ", "Recommend", "she", "get", "1200", "mg", "of", "calcium", "and", "400", "U", "of", "vitamin", "D", "a", "day", "." ]	[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 30 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.407988	null
CHIEF COMPLAINT: , This 5-year-old male presents to Children's Hospital Emergency Department by the mother with "have asthma."	[ "CHIEF", "COMPLAINT", ":", ",", "This", "5", "-", "year", "-", "old", "male", "presents", "to", "Children", "'s", "Hospital", "Emergency", "Department", "by", "the", "mother", "with", "\"", "have", "asthma", ".", "\"" ]	[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 106, "label": "KEYPHRASE", "score": 0, "start": 100 }, { "end": 124, "label": "KEYPHRASE", "score": 0, "start": 118 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.411052	null
Mother states he has been wheezing and coughing.	[ " ", "Mother", "states", "he", "has", "been", "wheezing", "and", "coughing", "." ]	[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 40 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.411338	null
He was evaluated at the clinic, given the breathing treatment and discharged home, was not having asthma, prescribed prednisone and an antibiotic.	[ " ", "He", "was", "evaluated", "at", "the", "clinic", ",", "given", "the", "breathing", "treatment", "and", "discharged", "home", ",", "was", "not", "having", "asthma", ",", "prescribed", "prednisone", "and", "an", "antibiotic", "." ]	[ { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 43 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 105, "label": "KEYPHRASE", "score": 0, "start": 99 }, { "end": 128, "label": "KEYPHRASE", "score": 0, "start": 118 }, { "end": 146, "label": "KEYPHRASE", "score": 0, "start": 136 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.411779	null
He has had some vomiting and some abdominal pain.	[ " ", "He", "has", "had", "some", "vomiting", "and", "some", "abdominal", "pain", "." ]	[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 35 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.412186	null
His peak flows on the morning are normal at 150, but in the morning, they were down to 100 and subsequently decreased to 75 over the course of the day.	[ " ", "His", "peak", "flows", "on", "the", "morning", "are", "normal", "at", "150", ",", "but", "in", "the", "morning", ",", "they", "were", "down", "to", "100", "and", "subsequently", "decreased", "to", "75", "over", "the", "course", "of", "the", "day", "." ]	[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 118, "label": "KEYPHRASE", "score": 0, "start": 109 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.412491	null
,PAST MEDICAL HISTORY:, Asthma with his last admission in 07/2007.	[ ",PAST", "MEDICAL", "HISTORY", ":", ",", " ", "Asthma", "with", "his", "last", "admission", "in", "07/2007", "." ]	[ { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 46 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.412733	null
Also inclusive of frequent pneumonia by report.	[ " ", "Also", "inclusive", "of", "frequent", "pneumonia", "by", "report", "." ]	[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 28 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.412934	null
,MEDICATIONS: ,Advair, Nasonex, Xopenex, Zicam, Zithromax, prednisone, and albuterol.	[ ",MEDICATIONS", ":", " ", ",", "Advair", ",", "Nasonex", ",", "Xopenex", ",", "Zicam", ",", "Zithromax", ",", "prednisone", ",", "and", "albuterol", "." ]	[ { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 60 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.413456	null
,SOCIAL HISTORY: , Lives at home, here in the ED with the mother and there is no smoking in the home.	[ ",SOCIAL", "HISTORY", ":", ",", "Lives", "at", "home", ",", "here", "in", "the", "ED", "with", "the", "mother", "and", "there", "is", "no", "smoking", "in", "the", "home", "." ]	[ { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 58 }, { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 81 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.413871	null
,PHYSICAL EXAMINATION:,VITAL SIGNS: Temperature 98.7, pulse 105, respiration is 28, blood pressure 112/65, and weight of 16.5 kg.	[ ",PHYSICAL", "EXAMINATION:,VITAL", "SIGNS", ":", " ", "Temperature", "98.7", ",", "pulse", "105", ",", "respiration", "is", "28", ",", "blood", "pressure", "112/65", ",", "and", "weight", "of", "16.5", "kg", "." ]	[ { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 85 }, { "end": 118, "label": "KEYPHRASE", "score": 0, "start": 112 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.414599	null
Oxygen saturation low at 91% on room air.	[ " ", "Oxygen", "saturation", "low", "at", "91", "%", "on", "room", "air", "." ]	[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 8 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.414825	null
,GENERAL: This is a well-developed male who is cooperative, alert, active with oxygen by facemask.	[ ",GENERAL", ":", " ", "This", "is", "a", "well", "-", "developed", "male", "who", "is", "cooperative", ",", "alert", ",", "active", "with", "oxygen", "by", "facemask", "." ]	[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 86, "label": "KEYPHRASE", "score": 0, "start": 80 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.415084	null
,HEENT: Head is atraumatic and normocephalic.	[ ",HEENT", ":", " ", "Head", "is", "atraumatic", "and", "normocephalic", "." ]	[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 32 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.415304	null
Pupils are equal, round, and reactive to light.	[ " ", "Pupils", "are", "equal", ",", "round", ",", "and", "reactive", "to", "light", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 30 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.415517	null
Extraocular motions are intact and conjugate.	[ " ", "Extraocular", "motions", "are", "intact", "and", "conjugate", "." ]	[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.415715	null
Clear TMs, nose, and oropharynx.	[ " ", "Clear", "TMs", ",", "nose", ",", "and", "oropharynx", "." ]	[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 22 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.415910	null
Full painless nontender range of motion.	[ " ", "Full", "painless", "nontender", "range", "of", "motion", "." ]	[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 25 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.416241	null
,CHEST: Tight wheezing and retractions heard bilaterally.	[ ",CHEST", ":", " ", "Tight", "wheezing", "and", "retractions", "heard", "bilaterally", "." ]	[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 15 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.416440	null
,ABDOMEN: Soft, nontender.	[ ",ABDOMEN", ":", " ", "Soft", ",", "nontender", "." ]	[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 17 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.416778	null
No masses.	[ " ", "No", "masses", "." ]	[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.416947	null
No hepatosplenomegaly.	[ " ", "No", "hepatosplenomegaly", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 4 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.417116	null
,GENITALIA: Male genitalia is present on a visual examination.	[ ",GENITALIA", ":", " ", "Male", "genitalia", "is", "present", "on", "a", "visual", "examination", "." ]	[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 44 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 51 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.417325	null
,SKIN: No significant bruising, lesions or rash.	[ ",SKIN", ":", " ", "No", "significant", "bruising", ",", "lesions", "or", "rash", "." ]	[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 44 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.417536	null
,EXTREMITIES: Moves all extremities without difficulty, nontender.	[ ",EXTREMITIES", ":", " ", "Moves", "all", "extremities", "without", "difficulty", ",", "nontender", "." ]	[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 57 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.417752	null
No deformity.	[ " ", "No", "deformity", "." ]	[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 4 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.417933	null
,MEDICAL DECISION MAKING:, The differential entertained on this patient includes reactive airways disease, viral syndrome, and foreign body pneumonia.	[ ",MEDICAL", "DECISION", "MAKING", ":", ",", " ", "The", "differential", "entertained", "on", "this", "patient", "includes", "reactive", "airways", "disease", ",", "viral", "syndrome", ",", "and", "foreign", "body", "pneumonia", "." ]	[ { "end": 90, "label": "KEYPHRASE", "score": 0, "start": 82 }, { "end": 106, "label": "KEYPHRASE", "score": 0, "start": 99 }, { "end": 113, "label": "KEYPHRASE", "score": 0, "start": 108 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 114 }, { "end": 140, "label": "KEYPHRASE", "score": 0, "start": 128 }, { "end": 150, "label": "KEYPHRASE", "score": 0, "start": 141 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.418364	null
He is evaluated in the emergency department with continuous high-dose albuterol, Decadron by mouth, pulse oximetry, and close observation.	[ " ", "He", "is", "evaluated", "in", "the", "emergency", "department", "with", "continuous", "high", "-", "dose", "albuterol", ",", "Decadron", "by", "mouth", ",", "pulse", "oximetry", ",", "and", "close", "observation", "." ]	[ { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 66 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 94 }, { "end": 115, "label": "KEYPHRASE", "score": 0, "start": 101 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.418664	null
Chest x-ray reveals bronchial thickening, otherwise no definite infiltrate.	[ " ", "Chest", "x", "-", "ray", "reveals", "bronchial", "thickening", ",", "otherwise", "no", "definite", "infiltrate", "." ]	[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 31 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.418934	null
She is further treated in the emergency department with continued breathing treatments.	[ " ", "She", "is", "further", "treated", "in", "the", "emergency", "department", "with", "continued", "breathing", "treatments", "." ]	[ { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 31 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 67 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.419164	null
At 0048 hours, he has continued tight wheezes with saturations 99%, but ED sats are 92% with coughing spells.	[ " ", "At", "0048", "hours", ",", "he", "has", "continued", "tight", "wheezes", "with", "saturations", "99", "%", ",", "but", "ED", "sats", "are", "92", "%", "with", "coughing", "spells", "." ]	[ { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 94 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.419434	null
Based on the above, the hospitalist was consulted and accepts this patient for admission to the hospital with the working diagnosis of respiratory distress and asthma.	[ " ", "Based", "on", "the", "above", ",", "the", "hospitalist", "was", "consulted", "and", "accepts", "this", "patient", "for", "admission", "to", "the", "hospital", "with", "the", "working", "diagnosis", "of", "respiratory", "distress", "and", "asthma", "." ]	[ { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 80 }, { "end": 156, "label": "KEYPHRASE", "score": 0, "start": 136 }, { "end": 167, "label": "KEYPHRASE", "score": 0, "start": 161 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.419737	null
HISTORY: , A 34-year-old male presents today self-referred at the recommendation of Emergency Room physicians and his nephrologist to pursue further allergy evaluation and treatment.	[ "HISTORY", ":", ",", "A", "34", "-", "year", "-", "old", "male", "presents", "today", "self", "-", "referred", "at", "the", "recommendation", "of", "Emergency", "Room", "physicians", "and", "his", "nephrologist", "to", "pursue", "further", "allergy", "evaluation", "and", "treatment", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 156, "label": "KEYPHRASE", "score": 0, "start": 149 }, { "end": 167, "label": "KEYPHRASE", "score": 0, "start": 157 }, { "end": 181, "label": "KEYPHRASE", "score": 0, "start": 172 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.424100	null
Please refer to chart for history and physical, as well as the medical records regarding his allergic reaction treatment at ABC Medical Center for further details and studies.	[ " ", "Please", "refer", "to", "chart", "for", "history", "and", "physical", ",", "as", "well", "as", "the", "medical", "records", "regarding", "his", "allergic", "reaction", "treatment", "at", "ABC", "Medical", "Center", "for", "further", "details", "and", "studies", "." ]	[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 94 }, { "end": 121, "label": "KEYPHRASE", "score": 0, "start": 112 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.424582	null
In summary, the patient had an acute event of perioral swelling, etiology uncertain, occurring on 05/03/2008 requiring transfer from ABC Medical Center to XYZ Medical Center due to a history of renal failure requiring dialysis and he was admitted and treated and felt that his allergy reaction was to Keflex, which was being used to treat a skin cellulitis dialysis shunt infection.	[ " ", "In", "summary", ",", "the", "patient", "had", "an", "acute", "event", "of", "perioral", "swelling", ",", "etiology", "uncertain", ",", "occurring", "on", "05/03/2008", "requiring", "transfer", "from", "ABC", "Medical", "Center", "to", "XYZ", "Medical", "Center", "due", "to", "a", "history", "of", "renal", "failure", "requiring", "dialysis", "and", "he", "was", "admitted", "and", "treated", "and", "felt", "that", "his", "allergy", "reaction", "was", "to", "Keflex", ",", "which", "was", "being", "used", "to", "treat", "a", "skin", "cellulitis", "dialysis", "shunt", "infection", "." ]	[ { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 56 }, { "end": 194, "label": "KEYPHRASE", "score": 0, "start": 184 }, { "end": 208, "label": "KEYPHRASE", "score": 0, "start": 195 }, { "end": 227, "label": "KEYPHRASE", "score": 0, "start": 219 }, { "end": 285, "label": "KEYPHRASE", "score": 0, "start": 278 }, { "end": 294, "label": "KEYPHRASE", "score": 0, "start": 286 }, { "end": 346, "label": "KEYPHRASE", "score": 0, "start": 342 }, { "end": 357, "label": "KEYPHRASE", "score": 0, "start": 347 }, { "end": 366, "label": "KEYPHRASE", "score": 0, "start": 358 }, { "end": 372, "label": "KEYPHRASE", "score": 0, "start": 367 }, { "end": 382, "label": "KEYPHRASE", "score": 0, "start": 373 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.425197	null
In summary, the patient states he has some problems with tolerating grass allergies, environmental and inhalant allergies occasionally, but has never had anaphylactic or angioedema reactions.	[ " ", "In", "summary", ",", "the", "patient", "states", "he", "has", "some", "problems", "with", "tolerating", "grass", "allergies", ",", "environmental", "and", "inhalant", "allergies", "occasionally", ",", "but", "has", "never", "had", "anaphylactic", "or", "angioedema", "reactions", "." ]	[ { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 112, "label": "KEYPHRASE", "score": 0, "start": 104 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 113 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.425679	null
He currently is not taking any medication for allergies.	[ " ", "He", "currently", "is", "not", "taking", "any", "medication", "for", "allergies", "." ]	[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 47 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.426005	null
He is taking atenolol for blood pressure control.	[ " ", "He", "is", "taking", "atenolol", "for", "blood", "pressure", "control", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 27 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.426312	null
No further problems have been noted upon his discharge and treatment, which included corticosteroid therapy and antihistamine therapy and monitoring.	[ " ", "No", "further", "problems", "have", "been", "noted", "upon", "his", "discharge", "and", "treatment", ",", "which", "included", "corticosteroid", "therapy", "and", "antihistamine", "therapy", "and", "monitoring", "." ]	[ { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 46 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 108, "label": "KEYPHRASE", "score": 0, "start": 101 }, { "end": 134, "label": "KEYPHRASE", "score": 0, "start": 127 }, { "end": 149, "label": "KEYPHRASE", "score": 0, "start": 139 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.426673	null
,PAST MEDICAL HISTORY:, History of urticaria, history of renal failure with hypertension possible source of renal failure, history of dialysis times 2 years and a history of hypertension.	[ ",PAST", "MEDICAL", "HISTORY", ":", ",", " ", "History", "of", "urticaria", ",", "history", "of", "renal", "failure", "with", "hypertension", "possible", "source", "of", "renal", "failure", ",", "history", "of", "dialysis", "times", "2", "years", "and", "a", "history", "of", "hypertension", "." ]	[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 58 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 77 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 109 }, { "end": 134, "label": "KEYPHRASE", "score": 0, "start": 124 }, { "end": 143, "label": "KEYPHRASE", "score": 0, "start": 135 }, { "end": 174, "label": "KEYPHRASE", "score": 0, "start": 164 }, { "end": 187, "label": "KEYPHRASE", "score": 0, "start": 175 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.427110	null
,PAST SURGICAL HISTORY:, PermCath insertion times 3 and peritoneal dialysis.	[ ",PAST", "SURGICAL", "HISTORY", ":", ",", " ", "PermCath", "insertion", "times", "3", "and", "peritoneal", "dialysis", "." ]	[ { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 57 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.427459	null
,FAMILY HISTORY: , Strong for heart disease, carcinoma, and a history of food allergies, and there is also a history of hypertension.	[ ",FAMILY", "HISTORY", ":", ",", "Strong", "for", "heart", "disease", ",", "carcinoma", ",", "and", "a", "history", "of", "food", "allergies", ",", "and", "there", "is", "also", "a", "history", "of", "hypertension", "." ]	[ { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 72, "label": "KEYPHRASE", "score": 0, "start": 62 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 73 }, { "end": 87, "label": "KEYPHRASE", "score": 0, "start": 78 }, { "end": 119, "label": "KEYPHRASE", "score": 0, "start": 109 }, { "end": 132, "label": "KEYPHRASE", "score": 0, "start": 120 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.427853	null
,CURRENT MEDICATIONS: , Atenolol, sodium bicarbonate, Lovaza, and Dialyvite.	[ ",CURRENT", "MEDICATIONS", ":", ",", "Atenolol", ",", "sodium", "bicarbonate", ",", "Lovaza", ",", "and", "Dialyvite", "." ]	[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 41 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.428236	null
,ALLERGIES: , Heparin causing thrombocytopenia.	[ ",ALLERGIES", ":", ",", "Heparin", "causing", "thrombocytopenia", "." ]	[ { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 30 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.428523	null
,SOCIAL HISTORY: , Denies tobacco or alcohol use.	[ ",SOCIAL", "HISTORY", ":", ",", "Denies", "tobacco", "or", "alcohol", "use", "." ]	[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 37 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.428812	null
,PHYSICAL EXAMINATION: ,VITAL SIGNS: Age 34, blood pressure 128/78, pulse 70, temperature is 97.8, weight is 207 pounds, and height is 5 feet 7 inches.	[ ",PHYSICAL", "EXAMINATION", ":", " ", ",", "VITAL", "SIGNS", ":", " ", "Age", "34", ",", "blood", "pressure", "128/78", ",", "pulse", "70", ",", "temperature", "is", "97.8", ",", "weight", "is", "207", "pounds", ",", "and", "height", "is", "5", "feet", "7", "inches", "." ]	[ { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 70 }, { "end": 91, "label": "KEYPHRASE", "score": 0, "start": 80 }, { "end": 107, "label": "KEYPHRASE", "score": 0, "start": 101 }, { "end": 121, "label": "KEYPHRASE", "score": 0, "start": 115 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.429239	null
,GENERAL: The patient is healthy appearing; alert and oriented to person, place and time; responds appropriately; in no acute distress.	[ ",GENERAL", ":", " ", "The", "patient", "is", "healthy", "appearing", ";", "alert", "and", "oriented", "to", "person", ",", "place", "and", "time", ";", "responds", "appropriately", ";", "in", "no", "acute", "distress", "." ]	[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 67 }, { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 85 }, { "end": 135, "label": "KEYPHRASE", "score": 0, "start": 127 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.429663	null
No masses or lesions noted.	[ " ", "No", "masses", "or", "lesions", "noted", "." ]	[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 14 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.430204	null
,FACE: No facial tenderness or asymmetry noted.	[ ",FACE", ":", " ", "No", "facial", "tenderness", "or", "asymmetry", "noted", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 32 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.430493	null
,EYES: Pupils are equal, round and reactive to light and accommodation bilaterally.	[ ",EYES", ":", " ", "Pupils", "are", "equal", ",", "round", "and", "reactive", "to", "light", "and", "accommodation", "bilaterally", "." ]	[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 36 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.430823	null
Extraocular movements are intact bilaterally.	[ " ", "Extraocular", "movements", "are", "intact", "bilaterally", "." ]	[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 27 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.431108	null
,EARS: The tympanic membranes are intact bilaterally with a good light reflex.	[ ",EARS", ":", " ", "The", "tympanic", "membranes", "are", "intact", "bilaterally", "with", "a", "good", "light", "reflex", "." ]	[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 78, "label": "KEYPHRASE", "score": 0, "start": 66 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.431421	null
The external auditory canals are clear with no lesions or masses noted.	[ " ", "The", "external", "auditory", "canals", "are", "clear", "with", "no", "lesions", "or", "masses", "noted", "." ]	[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 48 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 59 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.431750	null
Weber and Rinne tests are within normal limits.	[ " ", "Weber", "and", "Rinne", "tests", "are", "within", "normal", "limits", "." ]	[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 27 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.432050	null
,NOSE: The nasal cavities are patent bilaterally.	[ ",NOSE", ":", " ", "The", "nasal", "cavities", "are", "patent", "bilaterally", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 31 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.432341	null
The nasal septum is midline.	[ " ", "The", "nasal", "septum", "is", "midline", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 21 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.432616	null
There are no nasal discharges.	[ " ", "There", "are", "no", "nasal", "discharges", "." ]	[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 14 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.432885	null
No masses or lesions noted.	[ " ", "No", "masses", "or", "lesions", "noted", "." ]	[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 14 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.433154	null
,THROAT: The oral mucosa appears healthy.	[ ",THROAT", ":", " ", "The", "oral", "mucosa", "appears", "healthy", "." ]	[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 34 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.433437	null
No oropharyngeal masses or lesions noted.	[ " ", "No", "oropharyngeal", "masses", "or", "lesions", "noted", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 28 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.433950	null
,NECK: The neck is supple with no adenopathy or masses palpated.	[ ",NECK", ":", " ", "The", "neck", "is", "supple", "with", "no", "adenopathy", "or", "masses", "palpated", "." ]	[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 49 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.434486	null
The trachea is midline.	[ " ", "The", "trachea", "is", "midline", "." ]	[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 16 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.434771	null
The thyroid gland is of normal size with no nodules.	[ " ", "The", "thyroid", "gland", "is", "of", "normal", "size", "with", "no", "nodules", "." ]	[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 45 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.435073	null
,NEUROLOGIC: Facial nerve is intact bilaterally.	[ ",NEUROLOGIC", ":", " ", "Facial", "nerve", "is", "intact", "bilaterally", "." ]	[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 30 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.435425	null
The remaining cranial nerves are intact without focal deficit.	[ " ", "The", "remaining", "cranial", "nerves", "are", "intact", "without", "focal", "deficit", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 34 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.435795	null
,HEART: Regular rate and rhythm.	[ ",HEART", ":", " ", "Regular", "rate", "and", "rhythm", "." ]	[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 26 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.436538	null
No murmur noted.	[ " ", "No", "murmur", "noted", "." ]	[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.436798	null
Acute allergic reaction, etiology uncertain, however, suspicious for Keflex.	[ " ", "Acute", "allergic", "reaction", ",", "etiology", "uncertain", ",", "however", ",", "suspicious", "for", "Keflex", "." ]	[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 7 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.437320	null
Renal failure requiring dialysis.	[ " ", "Renal", "failure", "requiring", "dialysis", "." ]	[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 25 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.437801	null
,RECOMMENDATIONS: ,RAST allergy testing for both food and environmental allergies was performed, and we will get the results back to the patient with further recommendations to follow.	[ ",RECOMMENDATIONS", ":", " ", ",", "RAST", "allergy", "testing", "for", "both", "food", "and", "environmental", "allergies", "was", "performed", ",", "and", "we", "will", "get", "the", "results", "back", "to", "the", "patient", "with", "further", "recommendations", "to", "follow", "." ]	[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 50 }, { "end": 82, "label": "KEYPHRASE", "score": 0, "start": 73 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.438615	null
If there is any specific food or inhalant allergen that is found to be quite high on the sensitivity scale, we would probably recommend the patient to avoid the offending agent to hold off on any further reactions.	[ " ", "If", "there", "is", "any", "specific", "food", "or", "inhalant", "allergen", "that", "is", "found", "to", "be", "quite", "high", "on", "the", "sensitivity", "scale", ",", "we", "would", "probably", "recommend", "the", "patient", "to", "avoid", "the", "offending", "agent", "to", "hold", "off", "on", "any", "further", "reactions", "." ]	[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.439086	null
At this point, I would recommend the patient stopping any further use of cephalosporin antibiotics, which may be the cause of his allergic reaction, and I would consider this an allergy.	[ " ", "At", "this", "point", ",", "I", "would", "recommend", "the", "patient", "stopping", "any", "further", "use", "of", "cephalosporin", "antibiotics", ",", "which", "may", "be", "the", "cause", "of", "his", "allergic", "reaction", ",", "and", "I", "would", "consider", "this", "an", "allergy", "." ]	[ { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 88 }, { "end": 148, "label": "KEYPHRASE", "score": 0, "start": 131 }, { "end": 186, "label": "KEYPHRASE", "score": 0, "start": 179 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.439531	null
Being on atenolol, the patient has a more difficult time treating acute anaphylaxis, but I do think this is medically necessary at this time and hopefully we can find specific causes for his allergic reactions.	[ " ", "Being", "on", "atenolol", ",", "the", "patient", "has", "a", "more", "difficult", "time", "treating", "acute", "anaphylaxis", ",", "but", "I", "do", "think", "this", "is", "medically", "necessary", "at", "this", "time", "and", "hopefully", "we", "can", "find", "specific", "causes", "for", "his", "allergic", "reactions", "." ]	[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 141, "label": "KEYPHRASE", "score": 0, "start": 137 }, { "end": 210, "label": "KEYPHRASE", "score": 0, "start": 192 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.439984	null
An EpiPen was also prescribed in the event of acute angioedema or allergic reaction or sensation of impending allergic reaction and he is aware he needs to proceed directly to the emergency room for further evaluation and treatment recommendations after administration of an EpiPen.	[ " ", "An", "EpiPen", "was", "also", "prescribed", "in", "the", "event", "of", "acute", "angioedema", "or", "allergic", "reaction", "or", "sensation", "of", "impending", "allergic", "reaction", "and", "he", "is", "aware", "he", "needs", "to", "proceed", "directly", "to", "the", "emergency", "room", "for", "further", "evaluation", "and", "treatment", "recommendations", "after", "administration", "of", "an", "EpiPen", "." ]	[ { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 67 }, { "end": 128, "label": "KEYPHRASE", "score": 0, "start": 111 }, { "end": 195, "label": "KEYPHRASE", "score": 0, "start": 181 }, { "end": 218, "label": "KEYPHRASE", "score": 0, "start": 208 }, { "end": 232, "label": "KEYPHRASE", "score": 0, "start": 223 }, { "end": 269, "label": "KEYPHRASE", "score": 0, "start": 255 } ]	Argilla	null	null	null	{ "medical_specialty": " Allergy / Immunology" }	Default	2022-12-07T10:15:39.440487	null

,Skin: Without abnormalities.

[ ",Skin", ":", " ", "Without", "abnormalities", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 16 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.397252

null

,Breasts: Normal symmetrical breasts without dimpling or retraction.

[ ",Breasts", ":", " ", "Normal", "symmetrical", "breasts", "without", "dimpling", "or", "retraction", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 46 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.397529

null

No nipple discharge.

[ " ", "No", "nipple", "discharge", "." ]

[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 4 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.397787

null

No masses or lesions to palpation.

[ " ", "No", "masses", "or", "lesions", "to", "palpation", "." ]

[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 25 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.398057

null

No axillary masses or lymphadenopathy.

[ " ", "No", "axillary", "masses", "or", "lymphadenopathy", "." ]

[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 23 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.398329

null

,Genitourinary: Normal external genitalia.

[ ",Genitourinary", ":", " ", "Normal", "external", "genitalia", "." ]

[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 24 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.398606

null

The walls of the vaginal vault are visualized with normal pink rugae with no lesions noted.

[ " ", "The", "walls", "of", "the", "vaginal", "vault", "are", "visualized", "with", "normal", "pink", "rugae", "with", "no", "lesions", "noted", "." ]

[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 78 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.398919

null

Cervix is visualized without lesion.

[ " ", "Cervix", "is", "visualized", "without", "lesion", "." ]

[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 30 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.399243

null

She has a moderate amount of thick white/yellow vaginal discharge in the vaginal vault.

[ " ", "She", "has", "a", "moderate", "amount", "of", "thick", "white", "/", "yellow", "vaginal", "discharge", "in", "the", "vaginal", "vault", "." ]

[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 49 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 57 }, { "end": 87, "label": "KEYPHRASE", "score": 0, "start": 74 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.399603

null

No cervical motion tenderness.

[ " ", "No", "cervical", "motion", "tenderness", "." ]

[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 20 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.399892

null

No adnexal tenderness or fullness.

[ " ", "No", "adnexal", "tenderness", "or", "fullness", "." ]

[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 26 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.400166

null

She is just using her Proventil inhaler but is using it daily.

[ " ", "She", "is", "just", "using", "her", "Proventil", "inhaler", "but", "is", "using", "it", "daily", "." ]

[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 33 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.401104

null

May need to increase the dose.

[ " ", "May", "need", "to", "increase", "the", "dose", "." ]

[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 26 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.401804

null

She did get some vaginal irritation with Advair in the past but she is willing to retry that if it is necessary.

[ " ", "She", "did", "get", "some", "vaginal", "irritation", "with", "Advair", "in", "the", "past", "but", "she", "is", "willing", "to", "retry", "that", "if", "it", "is", "necessary", "." ]

[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 18 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.402140

null

If her shortness of breath worsens she is to call me or go into the emergency department.

[ " ", "If", "her", "shortness", "of", "breath", "worsens", "she", "is", "to", "call", "me", "or", "go", "into", "the", "emergency", "department", "." ]

[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 69 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.402924

null

Allergic rhinitis.

[ " ", "Allergic", "rhinitis", "." ]

[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 10 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.403619

null

We will plan on restarting Allegra and Flonase daily for the time being.

[ " ", "We", "will", "plan", "on", "restarting", "Allegra", "and", "Flonase", "daily", "for", "the", "time", "being", "." ]

[ { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 62 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.403910

null

Premenstrual dysphoric disorder.

[ " ", "Premenstrual", "dysphoric", "disorder", "." ]

[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 24 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.404369

null

She may have some perimenopausal symptoms.

[ " ", "She", "may", "have", "some", "perimenopausal", "symptoms", "." ]

[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.404639

null

Likely this is secondary to urinary tract infection but we will repeat a UA to document clearing.

[ " ", "Likely", "this", "is", "secondary", "to", "urinary", "tract", "infection", "but", "we", "will", "repeat", "a", "UA", "to", "document", "clearing", "." ]

[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 29 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.405820

null

She does have some frequent dysuria but is not having it currently.

[ " ", "She", "does", "have", "some", "frequent", "dysuria", "but", "is", "not", "having", "it", "currently", "." ]

[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 29 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.406127

null

Cervical dysplasia.

[ " ", "Cervical", "dysplasia", "." ]

[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 10 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.406584

null

Pap smear is taken.

[ " ", "Pap", "smear", "is", "taken", "." ]

[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 5 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.406834

null

If normal we will go back to yearly Pap smear.

[ " ", "If", "normal", "we", "will", "go", "back", "to", "yearly", "Pap", "smear", "." ]

[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 41 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.407342

null

She is scheduled for screening mammogram and instructed on monthly self-breast exam techniques.

[ " ", "She", "is", "scheduled", "for", "screening", "mammogram", "and", "instructed", "on", "monthly", "self", "-", "breast", "exam", "techniques", "." ]

[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 73 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.407669

null

Recommend she get 1200 mg of calcium and 400 U of vitamin D a day.

[ " ", "Recommend", "she", "get", "1200", "mg", "of", "calcium", "and", "400", "U", "of", "vitamin", "D", "a", "day", "." ]

[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 30 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.407988

null

CHIEF COMPLAINT: , This 5-year-old male presents to Children's Hospital Emergency Department by the mother with "have asthma."

[ "CHIEF", "COMPLAINT", ":", ",", "This", "5", "-", "year", "-", "old", "male", "presents", "to", "Children", "'s", "Hospital", "Emergency", "Department", "by", "the", "mother", "with", "\"", "have", "asthma", ".", "\"" ]

[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 106, "label": "KEYPHRASE", "score": 0, "start": 100 }, { "end": 124, "label": "KEYPHRASE", "score": 0, "start": 118 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.411052

null

Mother states he has been wheezing and coughing.

[ " ", "Mother", "states", "he", "has", "been", "wheezing", "and", "coughing", "." ]

[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 40 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.411338

null

He was evaluated at the clinic, given the breathing treatment and discharged home, was not having asthma, prescribed prednisone and an antibiotic.

[ " ", "He", "was", "evaluated", "at", "the", "clinic", ",", "given", "the", "breathing", "treatment", "and", "discharged", "home", ",", "was", "not", "having", "asthma", ",", "prescribed", "prednisone", "and", "an", "antibiotic", "." ]

[ { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 43 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 105, "label": "KEYPHRASE", "score": 0, "start": 99 }, { "end": 128, "label": "KEYPHRASE", "score": 0, "start": 118 }, { "end": 146, "label": "KEYPHRASE", "score": 0, "start": 136 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.411779

null

He has had some vomiting and some abdominal pain.

[ " ", "He", "has", "had", "some", "vomiting", "and", "some", "abdominal", "pain", "." ]

[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 35 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.412186

null

His peak flows on the morning are normal at 150, but in the morning, they were down to 100 and subsequently decreased to 75 over the course of the day.

[ " ", "His", "peak", "flows", "on", "the", "morning", "are", "normal", "at", "150", ",", "but", "in", "the", "morning", ",", "they", "were", "down", "to", "100", "and", "subsequently", "decreased", "to", "75", "over", "the", "course", "of", "the", "day", "." ]

[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 118, "label": "KEYPHRASE", "score": 0, "start": 109 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.412491

null

,PAST MEDICAL HISTORY:, Asthma with his last admission in 07/2007.

[ ",PAST", "MEDICAL", "HISTORY", ":", ",", " ", "Asthma", "with", "his", "last", "admission", "in", "07/2007", "." ]

[ { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 46 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.412733

null

Also inclusive of frequent pneumonia by report.

[ " ", "Also", "inclusive", "of", "frequent", "pneumonia", "by", "report", "." ]

[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 28 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.412934

null

,MEDICATIONS: ,Advair, Nasonex, Xopenex, Zicam, Zithromax, prednisone, and albuterol.

[ ",MEDICATIONS", ":", " ", ",", "Advair", ",", "Nasonex", ",", "Xopenex", ",", "Zicam", ",", "Zithromax", ",", "prednisone", ",", "and", "albuterol", "." ]

[ { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 60 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.413456

null

,SOCIAL HISTORY: , Lives at home, here in the ED with the mother and there is no smoking in the home.

[ ",SOCIAL", "HISTORY", ":", ",", "Lives", "at", "home", ",", "here", "in", "the", "ED", "with", "the", "mother", "and", "there", "is", "no", "smoking", "in", "the", "home", "." ]

[ { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 58 }, { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 81 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.413871

null

,PHYSICAL EXAMINATION:,VITAL SIGNS: Temperature 98.7, pulse 105, respiration is 28, blood pressure 112/65, and weight of 16.5 kg.

[ ",PHYSICAL", "EXAMINATION:,VITAL", "SIGNS", ":", " ", "Temperature", "98.7", ",", "pulse", "105", ",", "respiration", "is", "28", ",", "blood", "pressure", "112/65", ",", "and", "weight", "of", "16.5", "kg", "." ]

[ { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 85 }, { "end": 118, "label": "KEYPHRASE", "score": 0, "start": 112 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.414599

null

Oxygen saturation low at 91% on room air.

[ " ", "Oxygen", "saturation", "low", "at", "91", "%", "on", "room", "air", "." ]

[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 8 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.414825

null

,GENERAL: This is a well-developed male who is cooperative, alert, active with oxygen by facemask.

[ ",GENERAL", ":", " ", "This", "is", "a", "well", "-", "developed", "male", "who", "is", "cooperative", ",", "alert", ",", "active", "with", "oxygen", "by", "facemask", "." ]

[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 86, "label": "KEYPHRASE", "score": 0, "start": 80 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.415084

null

,HEENT: Head is atraumatic and normocephalic.

[ ",HEENT", ":", " ", "Head", "is", "atraumatic", "and", "normocephalic", "." ]

[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 32 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.415304

null

Pupils are equal, round, and reactive to light.

[ " ", "Pupils", "are", "equal", ",", "round", ",", "and", "reactive", "to", "light", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 30 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.415517

null

Extraocular motions are intact and conjugate.

[ " ", "Extraocular", "motions", "are", "intact", "and", "conjugate", "." ]

[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.415715

null

Clear TMs, nose, and oropharynx.

[ " ", "Clear", "TMs", ",", "nose", ",", "and", "oropharynx", "." ]

[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 22 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.415910

null

Full painless nontender range of motion.

[ " ", "Full", "painless", "nontender", "range", "of", "motion", "." ]

[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 25 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.416241

null

,CHEST: Tight wheezing and retractions heard bilaterally.

[ ",CHEST", ":", " ", "Tight", "wheezing", "and", "retractions", "heard", "bilaterally", "." ]

[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 15 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.416440

null

,ABDOMEN: Soft, nontender.

[ ",ABDOMEN", ":", " ", "Soft", ",", "nontender", "." ]

[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 17 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.416778

null

No masses.

[ " ", "No", "masses", "." ]

[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.416947

null

No hepatosplenomegaly.

[ " ", "No", "hepatosplenomegaly", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 4 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.417116

null

,GENITALIA: Male genitalia is present on a visual examination.

[ ",GENITALIA", ":", " ", "Male", "genitalia", "is", "present", "on", "a", "visual", "examination", "." ]

[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 44 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 51 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.417325

null

,SKIN: No significant bruising, lesions or rash.

[ ",SKIN", ":", " ", "No", "significant", "bruising", ",", "lesions", "or", "rash", "." ]

[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 44 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.417536

null

,EXTREMITIES: Moves all extremities without difficulty, nontender.

[ ",EXTREMITIES", ":", " ", "Moves", "all", "extremities", "without", "difficulty", ",", "nontender", "." ]

[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 57 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.417752

null

No deformity.

[ " ", "No", "deformity", "." ]

[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 4 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.417933

null

,MEDICAL DECISION MAKING:, The differential entertained on this patient includes reactive airways disease, viral syndrome, and foreign body pneumonia.

[ ",MEDICAL", "DECISION", "MAKING", ":", ",", " ", "The", "differential", "entertained", "on", "this", "patient", "includes", "reactive", "airways", "disease", ",", "viral", "syndrome", ",", "and", "foreign", "body", "pneumonia", "." ]

[ { "end": 90, "label": "KEYPHRASE", "score": 0, "start": 82 }, { "end": 106, "label": "KEYPHRASE", "score": 0, "start": 99 }, { "end": 113, "label": "KEYPHRASE", "score": 0, "start": 108 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 114 }, { "end": 140, "label": "KEYPHRASE", "score": 0, "start": 128 }, { "end": 150, "label": "KEYPHRASE", "score": 0, "start": 141 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.418364

null

He is evaluated in the emergency department with continuous high-dose albuterol, Decadron by mouth, pulse oximetry, and close observation.

[ " ", "He", "is", "evaluated", "in", "the", "emergency", "department", "with", "continuous", "high", "-", "dose", "albuterol", ",", "Decadron", "by", "mouth", ",", "pulse", "oximetry", ",", "and", "close", "observation", "." ]

[ { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 66 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 94 }, { "end": 115, "label": "KEYPHRASE", "score": 0, "start": 101 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.418664

null

Chest x-ray reveals bronchial thickening, otherwise no definite infiltrate.

[ " ", "Chest", "x", "-", "ray", "reveals", "bronchial", "thickening", ",", "otherwise", "no", "definite", "infiltrate", "." ]

[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 31 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.418934

null

She is further treated in the emergency department with continued breathing treatments.

[ " ", "She", "is", "further", "treated", "in", "the", "emergency", "department", "with", "continued", "breathing", "treatments", "." ]

[ { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 31 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 67 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.419164

null

At 0048 hours, he has continued tight wheezes with saturations 99%, but ED sats are 92% with coughing spells.

[ " ", "At", "0048", "hours", ",", "he", "has", "continued", "tight", "wheezes", "with", "saturations", "99", "%", ",", "but", "ED", "sats", "are", "92", "%", "with", "coughing", "spells", "." ]

[ { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 94 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.419434

null

Based on the above, the hospitalist was consulted and accepts this patient for admission to the hospital with the working diagnosis of respiratory distress and asthma.

[ " ", "Based", "on", "the", "above", ",", "the", "hospitalist", "was", "consulted", "and", "accepts", "this", "patient", "for", "admission", "to", "the", "hospital", "with", "the", "working", "diagnosis", "of", "respiratory", "distress", "and", "asthma", "." ]

[ { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 80 }, { "end": 156, "label": "KEYPHRASE", "score": 0, "start": 136 }, { "end": 167, "label": "KEYPHRASE", "score": 0, "start": 161 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.419737

null

HISTORY: , A 34-year-old male presents today self-referred at the recommendation of Emergency Room physicians and his nephrologist to pursue further allergy evaluation and treatment.

[ "HISTORY", ":", ",", "A", "34", "-", "year", "-", "old", "male", "presents", "today", "self", "-", "referred", "at", "the", "recommendation", "of", "Emergency", "Room", "physicians", "and", "his", "nephrologist", "to", "pursue", "further", "allergy", "evaluation", "and", "treatment", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 156, "label": "KEYPHRASE", "score": 0, "start": 149 }, { "end": 167, "label": "KEYPHRASE", "score": 0, "start": 157 }, { "end": 181, "label": "KEYPHRASE", "score": 0, "start": 172 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.424100

null

Please refer to chart for history and physical, as well as the medical records regarding his allergic reaction treatment at ABC Medical Center for further details and studies.

[ " ", "Please", "refer", "to", "chart", "for", "history", "and", "physical", ",", "as", "well", "as", "the", "medical", "records", "regarding", "his", "allergic", "reaction", "treatment", "at", "ABC", "Medical", "Center", "for", "further", "details", "and", "studies", "." ]

[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 94 }, { "end": 121, "label": "KEYPHRASE", "score": 0, "start": 112 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.424582

null

In summary, the patient had an acute event of perioral swelling, etiology uncertain, occurring on 05/03/2008 requiring transfer from ABC Medical Center to XYZ Medical Center due to a history of renal failure requiring dialysis and he was admitted and treated and felt that his allergy reaction was to Keflex, which was being used to treat a skin cellulitis dialysis shunt infection.

[ " ", "In", "summary", ",", "the", "patient", "had", "an", "acute", "event", "of", "perioral", "swelling", ",", "etiology", "uncertain", ",", "occurring", "on", "05/03/2008", "requiring", "transfer", "from", "ABC", "Medical", "Center", "to", "XYZ", "Medical", "Center", "due", "to", "a", "history", "of", "renal", "failure", "requiring", "dialysis", "and", "he", "was", "admitted", "and", "treated", "and", "felt", "that", "his", "allergy", "reaction", "was", "to", "Keflex", ",", "which", "was", "being", "used", "to", "treat", "a", "skin", "cellulitis", "dialysis", "shunt", "infection", "." ]

[ { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 56 }, { "end": 194, "label": "KEYPHRASE", "score": 0, "start": 184 }, { "end": 208, "label": "KEYPHRASE", "score": 0, "start": 195 }, { "end": 227, "label": "KEYPHRASE", "score": 0, "start": 219 }, { "end": 285, "label": "KEYPHRASE", "score": 0, "start": 278 }, { "end": 294, "label": "KEYPHRASE", "score": 0, "start": 286 }, { "end": 346, "label": "KEYPHRASE", "score": 0, "start": 342 }, { "end": 357, "label": "KEYPHRASE", "score": 0, "start": 347 }, { "end": 366, "label": "KEYPHRASE", "score": 0, "start": 358 }, { "end": 372, "label": "KEYPHRASE", "score": 0, "start": 367 }, { "end": 382, "label": "KEYPHRASE", "score": 0, "start": 373 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.425197

null

In summary, the patient states he has some problems with tolerating grass allergies, environmental and inhalant allergies occasionally, but has never had anaphylactic or angioedema reactions.

[ " ", "In", "summary", ",", "the", "patient", "states", "he", "has", "some", "problems", "with", "tolerating", "grass", "allergies", ",", "environmental", "and", "inhalant", "allergies", "occasionally", ",", "but", "has", "never", "had", "anaphylactic", "or", "angioedema", "reactions", "." ]

[ { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 112, "label": "KEYPHRASE", "score": 0, "start": 104 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 113 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.425679

null

He currently is not taking any medication for allergies.

[ " ", "He", "currently", "is", "not", "taking", "any", "medication", "for", "allergies", "." ]

[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 47 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.426005

null

He is taking atenolol for blood pressure control.

[ " ", "He", "is", "taking", "atenolol", "for", "blood", "pressure", "control", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 27 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.426312

null

No further problems have been noted upon his discharge and treatment, which included corticosteroid therapy and antihistamine therapy and monitoring.

[ " ", "No", "further", "problems", "have", "been", "noted", "upon", "his", "discharge", "and", "treatment", ",", "which", "included", "corticosteroid", "therapy", "and", "antihistamine", "therapy", "and", "monitoring", "." ]

[ { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 46 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 108, "label": "KEYPHRASE", "score": 0, "start": 101 }, { "end": 134, "label": "KEYPHRASE", "score": 0, "start": 127 }, { "end": 149, "label": "KEYPHRASE", "score": 0, "start": 139 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.426673

null

,PAST MEDICAL HISTORY:, History of urticaria, history of renal failure with hypertension possible source of renal failure, history of dialysis times 2 years and a history of hypertension.

[ ",PAST", "MEDICAL", "HISTORY", ":", ",", " ", "History", "of", "urticaria", ",", "history", "of", "renal", "failure", "with", "hypertension", "possible", "source", "of", "renal", "failure", ",", "history", "of", "dialysis", "times", "2", "years", "and", "a", "history", "of", "hypertension", "." ]

[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 58 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 77 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 109 }, { "end": 134, "label": "KEYPHRASE", "score": 0, "start": 124 }, { "end": 143, "label": "KEYPHRASE", "score": 0, "start": 135 }, { "end": 174, "label": "KEYPHRASE", "score": 0, "start": 164 }, { "end": 187, "label": "KEYPHRASE", "score": 0, "start": 175 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.427110

null

,PAST SURGICAL HISTORY:, PermCath insertion times 3 and peritoneal dialysis.

[ ",PAST", "SURGICAL", "HISTORY", ":", ",", " ", "PermCath", "insertion", "times", "3", "and", "peritoneal", "dialysis", "." ]

[ { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 57 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.427459

null

,FAMILY HISTORY: , Strong for heart disease, carcinoma, and a history of food allergies, and there is also a history of hypertension.

[ ",FAMILY", "HISTORY", ":", ",", "Strong", "for", "heart", "disease", ",", "carcinoma", ",", "and", "a", "history", "of", "food", "allergies", ",", "and", "there", "is", "also", "a", "history", "of", "hypertension", "." ]

[ { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 72, "label": "KEYPHRASE", "score": 0, "start": 62 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 73 }, { "end": 87, "label": "KEYPHRASE", "score": 0, "start": 78 }, { "end": 119, "label": "KEYPHRASE", "score": 0, "start": 109 }, { "end": 132, "label": "KEYPHRASE", "score": 0, "start": 120 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.427853

null

,CURRENT MEDICATIONS: , Atenolol, sodium bicarbonate, Lovaza, and Dialyvite.

[ ",CURRENT", "MEDICATIONS", ":", ",", "Atenolol", ",", "sodium", "bicarbonate", ",", "Lovaza", ",", "and", "Dialyvite", "." ]

[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 41 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.428236

null

,ALLERGIES: , Heparin causing thrombocytopenia.

[ ",ALLERGIES", ":", ",", "Heparin", "causing", "thrombocytopenia", "." ]

[ { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 30 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.428523

null

,SOCIAL HISTORY: , Denies tobacco or alcohol use.

[ ",SOCIAL", "HISTORY", ":", ",", "Denies", "tobacco", "or", "alcohol", "use", "." ]

[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 37 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.428812

null

,PHYSICAL EXAMINATION: ,VITAL SIGNS: Age 34, blood pressure 128/78, pulse 70, temperature is 97.8, weight is 207 pounds, and height is 5 feet 7 inches.

[ ",PHYSICAL", "EXAMINATION", ":", " ", ",", "VITAL", "SIGNS", ":", " ", "Age", "34", ",", "blood", "pressure", "128/78", ",", "pulse", "70", ",", "temperature", "is", "97.8", ",", "weight", "is", "207", "pounds", ",", "and", "height", "is", "5", "feet", "7", "inches", "." ]

[ { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 70 }, { "end": 91, "label": "KEYPHRASE", "score": 0, "start": 80 }, { "end": 107, "label": "KEYPHRASE", "score": 0, "start": 101 }, { "end": 121, "label": "KEYPHRASE", "score": 0, "start": 115 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.429239

null

,GENERAL: The patient is healthy appearing; alert and oriented to person, place and time; responds appropriately; in no acute distress.

[ ",GENERAL", ":", " ", "The", "patient", "is", "healthy", "appearing", ";", "alert", "and", "oriented", "to", "person", ",", "place", "and", "time", ";", "responds", "appropriately", ";", "in", "no", "acute", "distress", "." ]

[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 67 }, { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 85 }, { "end": 135, "label": "KEYPHRASE", "score": 0, "start": 127 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.429663

null

No masses or lesions noted.

[ " ", "No", "masses", "or", "lesions", "noted", "." ]

[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 14 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.430204

null

,FACE: No facial tenderness or asymmetry noted.

[ ",FACE", ":", " ", "No", "facial", "tenderness", "or", "asymmetry", "noted", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 32 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.430493

null

,EYES: Pupils are equal, round and reactive to light and accommodation bilaterally.

[ ",EYES", ":", " ", "Pupils", "are", "equal", ",", "round", "and", "reactive", "to", "light", "and", "accommodation", "bilaterally", "." ]

[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 36 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.430823

null

Extraocular movements are intact bilaterally.

[ " ", "Extraocular", "movements", "are", "intact", "bilaterally", "." ]

[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 27 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.431108

null

,EARS: The tympanic membranes are intact bilaterally with a good light reflex.

[ ",EARS", ":", " ", "The", "tympanic", "membranes", "are", "intact", "bilaterally", "with", "a", "good", "light", "reflex", "." ]

[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 78, "label": "KEYPHRASE", "score": 0, "start": 66 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.431421

null

The external auditory canals are clear with no lesions or masses noted.

[ " ", "The", "external", "auditory", "canals", "are", "clear", "with", "no", "lesions", "or", "masses", "noted", "." ]

[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 48 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 59 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.431750

null

Weber and Rinne tests are within normal limits.

[ " ", "Weber", "and", "Rinne", "tests", "are", "within", "normal", "limits", "." ]

[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 27 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.432050

null

,NOSE: The nasal cavities are patent bilaterally.

[ ",NOSE", ":", " ", "The", "nasal", "cavities", "are", "patent", "bilaterally", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 31 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.432341

null

The nasal septum is midline.

[ " ", "The", "nasal", "septum", "is", "midline", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 21 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.432616

null

There are no nasal discharges.

[ " ", "There", "are", "no", "nasal", "discharges", "." ]

[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 14 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.432885

null

No masses or lesions noted.

[ " ", "No", "masses", "or", "lesions", "noted", "." ]

[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 14 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.433154

null

,THROAT: The oral mucosa appears healthy.

[ ",THROAT", ":", " ", "The", "oral", "mucosa", "appears", "healthy", "." ]

[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 34 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.433437

null

No oropharyngeal masses or lesions noted.

[ " ", "No", "oropharyngeal", "masses", "or", "lesions", "noted", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 28 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.433950

null

,NECK: The neck is supple with no adenopathy or masses palpated.

[ ",NECK", ":", " ", "The", "neck", "is", "supple", "with", "no", "adenopathy", "or", "masses", "palpated", "." ]

[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 49 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.434486

null

The trachea is midline.

[ " ", "The", "trachea", "is", "midline", "." ]

[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 16 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.434771

null

The thyroid gland is of normal size with no nodules.

[ " ", "The", "thyroid", "gland", "is", "of", "normal", "size", "with", "no", "nodules", "." ]

[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 45 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.435073

null

,NEUROLOGIC: Facial nerve is intact bilaterally.

[ ",NEUROLOGIC", ":", " ", "Facial", "nerve", "is", "intact", "bilaterally", "." ]

[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 30 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.435425

null

The remaining cranial nerves are intact without focal deficit.

[ " ", "The", "remaining", "cranial", "nerves", "are", "intact", "without", "focal", "deficit", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 34 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.435795

null

,HEART: Regular rate and rhythm.

[ ",HEART", ":", " ", "Regular", "rate", "and", "rhythm", "." ]

[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 26 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.436538

null

No murmur noted.

[ " ", "No", "murmur", "noted", "." ]

[ { "end": 10, "label": "KEYPHRASE", "score": 0, "start": 4 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.436798

null

Acute allergic reaction, etiology uncertain, however, suspicious for Keflex.

[ " ", "Acute", "allergic", "reaction", ",", "etiology", "uncertain", ",", "however", ",", "suspicious", "for", "Keflex", "." ]

[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 7 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.437320

null

Renal failure requiring dialysis.

[ " ", "Renal", "failure", "requiring", "dialysis", "." ]

[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 25 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.437801

null

,RECOMMENDATIONS: ,RAST allergy testing for both food and environmental allergies was performed, and we will get the results back to the patient with further recommendations to follow.

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[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 50 }, { "end": 82, "label": "KEYPHRASE", "score": 0, "start": 73 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.438615

null

If there is any specific food or inhalant allergen that is found to be quite high on the sensitivity scale, we would probably recommend the patient to avoid the offending agent to hold off on any further reactions.

[ " ", "If", "there", "is", "any", "specific", "food", "or", "inhalant", "allergen", "that", "is", "found", "to", "be", "quite", "high", "on", "the", "sensitivity", "scale", ",", "we", "would", "probably", "recommend", "the", "patient", "to", "avoid", "the", "offending", "agent", "to", "hold", "off", "on", "any", "further", "reactions", "." ]

[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.439086

null

At this point, I would recommend the patient stopping any further use of cephalosporin antibiotics, which may be the cause of his allergic reaction, and I would consider this an allergy.

[ " ", "At", "this", "point", ",", "I", "would", "recommend", "the", "patient", "stopping", "any", "further", "use", "of", "cephalosporin", "antibiotics", ",", "which", "may", "be", "the", "cause", "of", "his", "allergic", "reaction", ",", "and", "I", "would", "consider", "this", "an", "allergy", "." ]

[ { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 88 }, { "end": 148, "label": "KEYPHRASE", "score": 0, "start": 131 }, { "end": 186, "label": "KEYPHRASE", "score": 0, "start": 179 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.439531

null

Being on atenolol, the patient has a more difficult time treating acute anaphylaxis, but I do think this is medically necessary at this time and hopefully we can find specific causes for his allergic reactions.

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[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 141, "label": "KEYPHRASE", "score": 0, "start": 137 }, { "end": 210, "label": "KEYPHRASE", "score": 0, "start": 192 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.439984

null

An EpiPen was also prescribed in the event of acute angioedema or allergic reaction or sensation of impending allergic reaction and he is aware he needs to proceed directly to the emergency room for further evaluation and treatment recommendations after administration of an EpiPen.

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[ { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 67 }, { "end": 128, "label": "KEYPHRASE", "score": 0, "start": 111 }, { "end": 195, "label": "KEYPHRASE", "score": 0, "start": 181 }, { "end": 218, "label": "KEYPHRASE", "score": 0, "start": 208 }, { "end": 232, "label": "KEYPHRASE", "score": 0, "start": 223 }, { "end": 269, "label": "KEYPHRASE", "score": 0, "start": 255 } ]

Argilla

null

{ "medical_specialty": " Allergy / Immunology" }

Default

2022-12-07T10:15:39.440487

null