chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Atelectasis, Atrial fibrillation
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Atrial flutter, Atrioventricular block, Basophil count decreased, Basophil percentage, Benign prostatic hyperplasia
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin increased, Blood calcium normal, Blood chloride increased
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea increased
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: CHA2DS2-VASc-score, COVID-19, Carbon dioxide normal, Cardiac murmur, Chest X-ray abnormal
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Computerised tomogram head abnormal, Confusional state, Cough, Dehydration
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Electrocardiogram ST-T segment abnormal, Electrocardiogram abnormal, Encephalopathy, Eosinophil count decreased, Eosinophil percentage decreased
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Fluid intake reduced, Glomerular filtration rate normal, Granulocyte percentage, Haematocrit normal
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Haemoglobin normal, Haemorrhage, Hallucination, Heart rate abnormal, Hypertension
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypophagia, Influenza A virus test negative, Influenza B virus test, Interstitial lung disease, Laboratory test
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Lung opacity, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Mean cell volume normal, Mean platelet volume normal, Mental status changes, Monocyte count normal, Monocyte percentage increased
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Paranoia, Periodontic-endodontic disease, Platelet count normal, Pleural effusion, Protein total normal
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, Red blood cell count normal, Red cell distribution width increased, Respiratory syncytial virus test negative, Rhonchi
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sinusitis, Troponin I normal, Wheezing, White blood cell count decreased
Clinical narrative: Narrative:  1/9/23 at 15:03 - Pt presented to ED with cough, wheezing, dehydration, and confusion x 1 week per daughter. Pt noted with altered mental status (paranoia and hallucinations per daughter). Daughter also reported fever, chills, fatigue at home and not eating/drinking for last 2 days. In ED, head CT showed pansinusitis and endodontal disease. CXR showed left and small right pleural effusions with adjacent opacities. Patient tested positive for COVID-19. EKG = atrial flutter, variable av block, nonspecific stt. Pt given IV fluid, atenolol, and diltiazem. Primary diagnosis = COVID, new afib/flutter, AMS. Pt admitted to medicine floor with stay from 1/9/ to 1/16/23. Per discharge summary, PRINCIPAL DIAGNOSIS (Reason for admission after study) = atrial flutter with variable block. Additional diagnosis include: COVID 19 infection, HTN - chronic, BPH, and acute/chronic encephalopathy. HOSPITAL COURSE: pt admitted to the sdu. dx atrial flutter. ? if r/t covid. pt was given dilt in the ER with improvement of rate. pt with positive covid. pt did not require oxygen upon admission. cont to monitor. cardiology consulted - noted Atrial flutter with variable block. hx of AVNRT. - atrial flutter presenting in setting of COVID 19 infection. previously on atenolol. pt started on metoprolol q6h for rate control. unknown duration of a flutter. if stable can have DCCV in oupt setting. chadsvasc 3 - has bleed 3. concern age/risks. to be discussed with caregiver. pt with what appears to be a short period where oxygen was needed while in the SDU only. pt stable for transfer to the floor on 1/12/23. pt no longer requiring oxygen. heart rate remained stable. pt tolerating medications PT consulted - recommended 24/7 supervision at home due and reported hx of falls with decreased cognition. pt stable on medications. plan for cardiology follow up. to keep pcp follow up. consult for overnight oximetry test ordered. order for HHPT.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Acute respiratory failure, Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase increased
Clinical narrative: Narrative:  1/4/23 - Pt presented to ED with SOB x 2 weeks, but recently worsening with cough and weakness. Pt had breath sounds with wheezing and rhonchi, Hx of COPD. Respirations mildly labored, and Pt states he can hear himself wheezing esp. in afternoons and when laying flat. Pt denies chest pain or any loss of taste/smell. Pt diagnosis = COVID, CAP Pt received the following meds in ED: solumedrol 125mg, albuterol 8 puffs, rocephin, oxygen @ 2L NC, tylenol for HA. Pt admitted to medical floor 1/4/23 (later to be discharged on 1/10/23). Medical floor diagnosis: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute hypoxic respiratory failure due to covid 19 and exacerbation of chronic obstructive pulmonary disease ADDITIONAL DIAGNOSIS: acute hypoxic respiratory failure covid 19 infection chronic obstructive pulmonary disease exacerbation chronic hypertension benign prostatic hypertrophy elevated glucose ( without dx of diabetes) chronic hypothyroidism rheumatoid arthritis hyperlipidemia HOSPITAL COURSE: Pt admitted to the hospital. initial dx cap ,copde and covid. pt started on remdesivir and decadron ( chronic RA meds held). oxygen as needed to maintain sats. cont chronic htn meds. ssi insulin. antibiotics stopped on day 2. by day 3 pt starting to feel better. still requiring oxygen. pt cont to require oxygen. completed 5 days of remdesivir and decadron. unable to wean off oxygen. did qualify for home oxygen. due to chronic steroids, pt placed on prednisone taper till on chronic RA dose. pt stable for d/c to home on 1/10/23.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Band neutrophil count, Basophil count decreased, Basophil percentage decreased, Benign prostatic hyperplasia
Clinical narrative: Narrative:  1/4/23 - Pt presented to ED with SOB x 2 weeks, but recently worsening with cough and weakness. Pt had breath sounds with wheezing and rhonchi, Hx of COPD. Respirations mildly labored, and Pt states he can hear himself wheezing esp. in afternoons and when laying flat. Pt denies chest pain or any loss of taste/smell. Pt diagnosis = COVID, CAP Pt received the following meds in ED: solumedrol 125mg, albuterol 8 puffs, rocephin, oxygen @ 2L NC, tylenol for HA. Pt admitted to medical floor 1/4/23 (later to be discharged on 1/10/23). Medical floor diagnosis: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute hypoxic respiratory failure due to covid 19 and exacerbation of chronic obstructive pulmonary disease ADDITIONAL DIAGNOSIS: acute hypoxic respiratory failure covid 19 infection chronic obstructive pulmonary disease exacerbation chronic hypertension benign prostatic hypertrophy elevated glucose ( without dx of diabetes) chronic hypothyroidism rheumatoid arthritis hyperlipidemia HOSPITAL COURSE: Pt admitted to the hospital. initial dx cap ,copde and covid. pt started on remdesivir and decadron ( chronic RA meds held). oxygen as needed to maintain sats. cont chronic htn meds. ssi insulin. antibiotics stopped on day 2. by day 3 pt starting to feel better. still requiring oxygen. pt cont to require oxygen. completed 5 days of remdesivir and decadron. unable to wean off oxygen. did qualify for home oxygen. due to chronic steroids, pt placed on prednisone taper till on chronic RA dose. pt stable for d/c to home on 1/10/23.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Bilirubin urine, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal
Clinical narrative: Narrative:  1/4/23 - Pt presented to ED with SOB x 2 weeks, but recently worsening with cough and weakness. Pt had breath sounds with wheezing and rhonchi, Hx of COPD. Respirations mildly labored, and Pt states he can hear himself wheezing esp. in afternoons and when laying flat. Pt denies chest pain or any loss of taste/smell. Pt diagnosis = COVID, CAP Pt received the following meds in ED: solumedrol 125mg, albuterol 8 puffs, rocephin, oxygen @ 2L NC, tylenol for HA. Pt admitted to medical floor 1/4/23 (later to be discharged on 1/10/23). Medical floor diagnosis: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute hypoxic respiratory failure due to covid 19 and exacerbation of chronic obstructive pulmonary disease ADDITIONAL DIAGNOSIS: acute hypoxic respiratory failure covid 19 infection chronic obstructive pulmonary disease exacerbation chronic hypertension benign prostatic hypertrophy elevated glucose ( without dx of diabetes) chronic hypothyroidism rheumatoid arthritis hyperlipidemia HOSPITAL COURSE: Pt admitted to the hospital. initial dx cap ,copde and covid. pt started on remdesivir and decadron ( chronic RA meds held). oxygen as needed to maintain sats. cont chronic htn meds. ssi insulin. antibiotics stopped on day 2. by day 3 pt starting to feel better. still requiring oxygen. pt cont to require oxygen. completed 5 days of remdesivir and decadron. unable to wean off oxygen. did qualify for home oxygen. due to chronic steroids, pt placed on prednisone taper till on chronic RA dose. pt stable for d/c to home on 1/10/23.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride increased, Blood creatinine normal, Blood glucose increased, Blood lactic acid, Blood potassium normal
Clinical narrative: Narrative:  1/4/23 - Pt presented to ED with SOB x 2 weeks, but recently worsening with cough and weakness. Pt had breath sounds with wheezing and rhonchi, Hx of COPD. Respirations mildly labored, and Pt states he can hear himself wheezing esp. in afternoons and when laying flat. Pt denies chest pain or any loss of taste/smell. Pt diagnosis = COVID, CAP Pt received the following meds in ED: solumedrol 125mg, albuterol 8 puffs, rocephin, oxygen @ 2L NC, tylenol for HA. Pt admitted to medical floor 1/4/23 (later to be discharged on 1/10/23). Medical floor diagnosis: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute hypoxic respiratory failure due to covid 19 and exacerbation of chronic obstructive pulmonary disease ADDITIONAL DIAGNOSIS: acute hypoxic respiratory failure covid 19 infection chronic obstructive pulmonary disease exacerbation chronic hypertension benign prostatic hypertrophy elevated glucose ( without dx of diabetes) chronic hypothyroidism rheumatoid arthritis hyperlipidemia HOSPITAL COURSE: Pt admitted to the hospital. initial dx cap ,copde and covid. pt started on remdesivir and decadron ( chronic RA meds held). oxygen as needed to maintain sats. cont chronic htn meds. ssi insulin. antibiotics stopped on day 2. by day 3 pt starting to feel better. still requiring oxygen. pt cont to require oxygen. completed 5 days of remdesivir and decadron. unable to wean off oxygen. did qualify for home oxygen. due to chronic steroids, pt placed on prednisone taper till on chronic RA dose. pt stable for d/c to home on 1/10/23.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea increased, Blood urine absent, Breath sounds abnormal, COVID-19
Clinical narrative: Narrative:  1/4/23 - Pt presented to ED with SOB x 2 weeks, but recently worsening with cough and weakness. Pt had breath sounds with wheezing and rhonchi, Hx of COPD. Respirations mildly labored, and Pt states he can hear himself wheezing esp. in afternoons and when laying flat. Pt denies chest pain or any loss of taste/smell. Pt diagnosis = COVID, CAP Pt received the following meds in ED: solumedrol 125mg, albuterol 8 puffs, rocephin, oxygen @ 2L NC, tylenol for HA. Pt admitted to medical floor 1/4/23 (later to be discharged on 1/10/23). Medical floor diagnosis: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute hypoxic respiratory failure due to covid 19 and exacerbation of chronic obstructive pulmonary disease ADDITIONAL DIAGNOSIS: acute hypoxic respiratory failure covid 19 infection chronic obstructive pulmonary disease exacerbation chronic hypertension benign prostatic hypertrophy elevated glucose ( without dx of diabetes) chronic hypothyroidism rheumatoid arthritis hyperlipidemia HOSPITAL COURSE: Pt admitted to the hospital. initial dx cap ,copde and covid. pt started on remdesivir and decadron ( chronic RA meds held). oxygen as needed to maintain sats. cont chronic htn meds. ssi insulin. antibiotics stopped on day 2. by day 3 pt starting to feel better. still requiring oxygen. pt cont to require oxygen. completed 5 days of remdesivir and decadron. unable to wean off oxygen. did qualify for home oxygen. due to chronic steroids, pt placed on prednisone taper till on chronic RA dose. pt stable for d/c to home on 1/10/23.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Chromaturia, Chronic obstructive pulmonary disease, Condition aggravated, Cough, Crepitations
Clinical narrative: Narrative:  1/4/23 - Pt presented to ED with SOB x 2 weeks, but recently worsening with cough and weakness. Pt had breath sounds with wheezing and rhonchi, Hx of COPD. Respirations mildly labored, and Pt states he can hear himself wheezing esp. in afternoons and when laying flat. Pt denies chest pain or any loss of taste/smell. Pt diagnosis = COVID, CAP Pt received the following meds in ED: solumedrol 125mg, albuterol 8 puffs, rocephin, oxygen @ 2L NC, tylenol for HA. Pt admitted to medical floor 1/4/23 (later to be discharged on 1/10/23). Medical floor diagnosis: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute hypoxic respiratory failure due to covid 19 and exacerbation of chronic obstructive pulmonary disease ADDITIONAL DIAGNOSIS: acute hypoxic respiratory failure covid 19 infection chronic obstructive pulmonary disease exacerbation chronic hypertension benign prostatic hypertrophy elevated glucose ( without dx of diabetes) chronic hypothyroidism rheumatoid arthritis hyperlipidemia HOSPITAL COURSE: Pt admitted to the hospital. initial dx cap ,copde and covid. pt started on remdesivir and decadron ( chronic RA meds held). oxygen as needed to maintain sats. cont chronic htn meds. ssi insulin. antibiotics stopped on day 2. by day 3 pt starting to feel better. still requiring oxygen. pt cont to require oxygen. completed 5 days of remdesivir and decadron. unable to wean off oxygen. did qualify for home oxygen. due to chronic steroids, pt placed on prednisone taper till on chronic RA dose. pt stable for d/c to home on 1/10/23.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Elliptocytosis, Eosinophil count decreased, Eosinophil percentage decreased
Clinical narrative: Narrative:  1/4/23 - Pt presented to ED with SOB x 2 weeks, but recently worsening with cough and weakness. Pt had breath sounds with wheezing and rhonchi, Hx of COPD. Respirations mildly labored, and Pt states he can hear himself wheezing esp. in afternoons and when laying flat. Pt denies chest pain or any loss of taste/smell. Pt diagnosis = COVID, CAP Pt received the following meds in ED: solumedrol 125mg, albuterol 8 puffs, rocephin, oxygen @ 2L NC, tylenol for HA. Pt admitted to medical floor 1/4/23 (later to be discharged on 1/10/23). Medical floor diagnosis: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute hypoxic respiratory failure due to covid 19 and exacerbation of chronic obstructive pulmonary disease ADDITIONAL DIAGNOSIS: acute hypoxic respiratory failure covid 19 infection chronic obstructive pulmonary disease exacerbation chronic hypertension benign prostatic hypertrophy elevated glucose ( without dx of diabetes) chronic hypothyroidism rheumatoid arthritis hyperlipidemia HOSPITAL COURSE: Pt admitted to the hospital. initial dx cap ,copde and covid. pt started on remdesivir and decadron ( chronic RA meds held). oxygen as needed to maintain sats. cont chronic htn meds. ssi insulin. antibiotics stopped on day 2. by day 3 pt starting to feel better. still requiring oxygen. pt cont to require oxygen. completed 5 days of remdesivir and decadron. unable to wean off oxygen. did qualify for home oxygen. due to chronic steroids, pt placed on prednisone taper till on chronic RA dose. pt stable for d/c to home on 1/10/23.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate normal, Glucose urine absent, Granulocyte count, Granulocyte percentage, Haematocrit decreased
Clinical narrative: Narrative:  1/4/23 - Pt presented to ED with SOB x 2 weeks, but recently worsening with cough and weakness. Pt had breath sounds with wheezing and rhonchi, Hx of COPD. Respirations mildly labored, and Pt states he can hear himself wheezing esp. in afternoons and when laying flat. Pt denies chest pain or any loss of taste/smell. Pt diagnosis = COVID, CAP Pt received the following meds in ED: solumedrol 125mg, albuterol 8 puffs, rocephin, oxygen @ 2L NC, tylenol for HA. Pt admitted to medical floor 1/4/23 (later to be discharged on 1/10/23). Medical floor diagnosis: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute hypoxic respiratory failure due to covid 19 and exacerbation of chronic obstructive pulmonary disease ADDITIONAL DIAGNOSIS: acute hypoxic respiratory failure covid 19 infection chronic obstructive pulmonary disease exacerbation chronic hypertension benign prostatic hypertrophy elevated glucose ( without dx of diabetes) chronic hypothyroidism rheumatoid arthritis hyperlipidemia HOSPITAL COURSE: Pt admitted to the hospital. initial dx cap ,copde and covid. pt started on remdesivir and decadron ( chronic RA meds held). oxygen as needed to maintain sats. cont chronic htn meds. ssi insulin. antibiotics stopped on day 2. by day 3 pt starting to feel better. still requiring oxygen. pt cont to require oxygen. completed 5 days of remdesivir and decadron. unable to wean off oxygen. did qualify for home oxygen. due to chronic steroids, pt placed on prednisone taper till on chronic RA dose. pt stable for d/c to home on 1/10/23.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Headache, Hyperlipidaemia, Hypertension, Hypothyroidism
Clinical narrative: Narrative:  1/4/23 - Pt presented to ED with SOB x 2 weeks, but recently worsening with cough and weakness. Pt had breath sounds with wheezing and rhonchi, Hx of COPD. Respirations mildly labored, and Pt states he can hear himself wheezing esp. in afternoons and when laying flat. Pt denies chest pain or any loss of taste/smell. Pt diagnosis = COVID, CAP Pt received the following meds in ED: solumedrol 125mg, albuterol 8 puffs, rocephin, oxygen @ 2L NC, tylenol for HA. Pt admitted to medical floor 1/4/23 (later to be discharged on 1/10/23). Medical floor diagnosis: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute hypoxic respiratory failure due to covid 19 and exacerbation of chronic obstructive pulmonary disease ADDITIONAL DIAGNOSIS: acute hypoxic respiratory failure covid 19 infection chronic obstructive pulmonary disease exacerbation chronic hypertension benign prostatic hypertrophy elevated glucose ( without dx of diabetes) chronic hypothyroidism rheumatoid arthritis hyperlipidemia HOSPITAL COURSE: Pt admitted to the hospital. initial dx cap ,copde and covid. pt started on remdesivir and decadron ( chronic RA meds held). oxygen as needed to maintain sats. cont chronic htn meds. ssi insulin. antibiotics stopped on day 2. by day 3 pt starting to feel better. still requiring oxygen. pt cont to require oxygen. completed 5 days of remdesivir and decadron. unable to wean off oxygen. did qualify for home oxygen. due to chronic steroids, pt placed on prednisone taper till on chronic RA dose. pt stable for d/c to home on 1/10/23.