chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Asthenia, Bacterial test
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Basophil count, Basophil percentage, Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood bilirubin normal, Blood calcium normal, Blood chloride increased, Blood cholesterol normal, Blood creatinine normal
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood glucose normal, Blood magnesium increased, Blood potassium normal, Blood sodium normal, Blood thyroid stimulating hormone normal
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood triglycerides normal, Blood urea nitrogen/creatinine ratio, Blood urea normal, Blood urine absent, Carbon dioxide normal
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebral infarction, Chromaturia, Computerised tomogram head abnormal, Differential white blood cell count, Eosinophil count normal
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Eosinophil percentage, Fall, Full blood count, Glomerular filtration rate normal, Glucose urine absent
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Hemiparesis, High density lipoprotein decreased
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Immature granulocyte count, Influenza A virus test negative, Influenza B virus test, Joint injury, Lipids
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Low density lipoprotein normal, Lymphocyte count normal, Lymphocyte percentage, Magnetic resonance imaging head abnormal, Mean cell haemoglobin concentration normal
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mean cell haemoglobin increased, Mean cell volume increased, Mean platelet volume increased, Metabolic function test abnormal, Monocyte count normal
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Monocyte percentage increased, Neutrophil count normal, Neutrophil percentage, Nitrite urine present, Non-high-density lipoprotein cholesterol
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Platelet count normal, Protein total decreased, Protein urine absent, Red blood cell count normal, Red blood cells urine positive
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Red cell distribution width normal, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Somnolence, Specific gravity urine normal
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Thyroxine free, Total cholesterol/HDL ratio, Troponin I, Urinary sediment present, Urinary tract infection
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urine abnormality, Urine analysis abnormal, Urine ketone body absent, Urine leukocyte esterase positive, Urobilinogen urine
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Very low density lipoprotein normal, White blood cell count normal, White blood cells urine positive, Wound secretion, X-ray of pelvis and hip normal
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: pH urine normal
Clinical narrative: Date:  1/5/2022  Means of arrival:  ambulance History obtained from: patient History limited by: dementia   Chief Complaint: Weakness    HISTORY OF PRESENT ILLNESS   a 77 y.o. female who presents to the Emergency Department complaining of weakness. Patient was seen here on 12/31/21 status post fall and was discharged without any complications. Since then her family state that she has become increasingly weak and they decided to bring her back for further examination. Patient's family also state that she has an injury on her left hip that appears to be "weeping." Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, or any other symptoms.   Caveat: Full history of present illness is unobtainable from patient secondary to dementia   Date of Admission:  1/5/2022  Date of Service:  1/5/2022  Date of Birth:  10/31/1944  Chief Complaint:  Weakness a 77 y.o., female with a history of dementia who presents with weakness from home.  She was evaluated in the ED on 12/31/2021 after she sustained a fall at home.  X-ray of left hip done at that time did not reveal any acute pathology, she was discharged home.  As per patient's husband, she has been weak since then, sleeping more at home.  He has had trouble taking care of her.  He brought her to the ED today due to progressive weakness.  Patient is unable to provide any history due to her dementia, unable to follow commands consistently.   In the ED, CT brain concerning for acute infarct.  Urinalysis suggestive of UTI, she was started on IV ceftriaxone.  Admitted for further management.   COVID-19 vaccination status:  Received vaccine x2 and boost to. COVID-19 test:  Negative today.    Date of service: 1/6/2022 Date of Birth:  10/31/1944   Dementia, r/o R brain stroke      Chief Complaint/HPI:  Patient is a 77-year-old unknown handed woman with a history of severe dementia who was admitted yesterday with generalized weakness and with what appears to be asymmetrical weakness involving the left side extremities.  She had a cranial CT scan which suggested a right periventricular acute infarct, and later the same day had an MRI scan of the brain which confirmed this.  She was found to have a urinary tract infection and was started on ceftriaxone intravenously.  She has been vaccinated and boosted for COVID-19.  Home medications include donepezil 10 mg q.h.s. and Namenda XR 28 mg once per day. She has not been taking anti-platelet agents; she was started on aspirin 81 mg just today.