| sentences,concepts,codes | |
| "admission date: discharge date: date of birth: sex: m service: medicine allergies: no known allergies / adverse drug reactions attending: first name lf chief complaint: abdominal pain major surgical or invasive procedure: ct guided embolization of hepatic artery branches packed red blood cell transfusion history of present illness: pt is a yo male with a history of multifocal hepatocellular carcinoma alcoholic cirrhosis s/p cyberknife therapy and sorafenib discontinued two weeks ago nausea and vomiting who presented to osh with sharp, right sided abdominal pain and worsening abdominal distention since last night, found to have hemoperitoneum on ct scan and a hct of ","['Hepatocellular carcinoma', 'Alcoholic cirrhosis', 'Hemoperitoneum', 'Nausea and vomiting']","[109841003, 235894003, 45626005, 16932000]" | |
| "he also denies hx sbp, varices or hepatic encephalopathy ","['Hepatic encephalopathy', 'Varices']","[13920009, 128060009]" | |
| "on arrival to the micu, pt is still having nausea and emesis, but says that his abdominal pain has improved since receiving pain medications in the ed ",['Emesis'],[15387003] | |
| past medical history: alcoholic cirrhosis multifocal hcc s/p treatment with cyberknife and sorafenib cad htn chf hld chronic kidney disease baseline cr of anemia of chronic disease mgus diabetes social history: he is a retired government employee ,"['Alcoholic cirrhosis', 'Anemia', 'Chronic kidney disease', 'Anemia of chronic disease']","[235894003, 271737000, 709044004, 234347009]" | |
| family history: his mother died of smoking related lung cancer ,['Lung cancer'],[363358000] | |
| "cirrhotic liver with a large mass residing along the inferior right hepatic lobe, most likely representing hepatoma, although not fully characterized on non contrast imaging ",['Hepatoma'],[126851005] | |
| complex free fluid within the abdomen with the highest density noted in the region of the suspected liver mass is consistent with extensive peritoneal hemorrhage suspected to reflect bleeding from a large hepatoma ,"['Peritoneal hemorrhage', 'Liver mass', 'Hepatoma']","[45626005, 300332007, 126851005]" | |
| "brief hospital course: m w/hx alcoholic cirrhosis & multifocal hepatocellular carcinoma who initially presented to osh with sharp, sudden onset right sided abdominal pain and distention, found to have hemoperitoneum and hct ","['Hepatocellular carcinoma', 'Alcoholic cirrhosis', 'Hemoperitoneum']","[109841003, 235894003, 45626005]" | |
| # multifocal hcc alcoholic cirrhosis complicated by hemoperitoneum: patient is followed by outpatient oncologist dr first name namepattern last name namepattern at hospital ,"['Alcoholic cirrhosis', 'Hemoperitoneum']","[235894003, 45626005]" | |
| patient underwent cyberknife treatment here at hospital approximately year ago & had been receiving sorafenib until recently when it was discontinued because of intractable nausea and vomiting ,['Intractable nausea and vomiting'],[698861005] | |
| "#hemoperitoneum from bleeding right lobe hepatocellular carcinoma lesion: pt was admitted to hospital icu with sudden onset severe abdominal pain, distension, and blood loss anemia with hct and ct demonstrated hemoperitoneum from bleeding r lobe hepatoma ","['Hepatocellular carcinoma', 'Hemoperitoneum', 'Blood loss anemia', 'Hepatoma']","[109841003, 45626005, 42626004, 126851005]" | |
| "#hypertensive urgency pt has hx hypertension but outpatient antihypertensive regimen unclear had been previously prescribed labetolol, hydralazine and amlodipine but only script filled within past months was amlodipine ","['Hypertension', 'Hypertensive urgency']","[38341003, 443482000]" | |
| when admitted he was found to have severe asymptomatic hypertension to sbp s s ,['Hypertension'],[38341003] | |
| "there was some difficulty controlling bps again when pt could not tolerate pos due to nausea/vomiting, was also likely exacerbated by underlying nausea and abdominal discomfort ",['Vomiting'],[15387003] | |
| "# nausea/vomiting this was felt to be related to his known cancer, acutely exacerbated by hemoperitoneum and abdominal distension ","['Vomiting', 'Hemoperitoneum', 'Cancer']","[15387003, 45626005, 363346000]" | |
| discharged with bowel medications to prevent further constipation while taking opiates for pain ,['Constipation'],[14760008] | |
| "# thrombocytopenia plts on admission, dropped to a nadir of then rose to within historical baseline ~ ",['Thrombocytopenia'],[70786006] | |
| chronically low baseline plts expected in liver failure; further acute thrombocytopenia could be explained by bleeding/clotting consumption and/or dic ,"['Thrombocytopenia', 'Liver failure']","[70786006, 59927004]" | |
| # gout pt has history of gout previously treated with short course po prednisone ,['Gout'],[90560007] | |
| # hx congestive heart failure during his micu stay he was without evidence of fluid overload of chf exacerbation ,"['Congestive heart failure', 'Fluid overload']","[42343007, 21639008]" | |