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[ "Anti-Nucleosome", "Negative" ]
[ 1, 2 ]
[ "Anti-Histone", "Negative" ]
[ 1, 2 ]
[ "Anti-Ribosomal", "P", "Negative" ]
[ 1, 2, 2 ]
[ "Anti-AMA-M2", "Negative" ]
[ 1, 2 ]
[ "C3", "<", "2.533", "mg/dl" ]
[ 1, 0, 0, 0 ]
[ "C4", "<", "0.563", "mg/dl" ]
[ 1, 0, 0, 0 ]
[ "-", "Consult", "nephro", "คิดถึง", "Lupus", "nephritis", "class", "V", "->", "plan", "Renal", "biopsy", "OPD", "case" ]
[ 0, 1, 2, 0, 1, 2, 2, 2, 0, 0, 1, 2, 0, 0 ]
[ "ให้", "conitinue", "Prednisolone", "30", "mg/day", "+", "Chloroqiune", "125", "mg/day" ]
[ 0, 0, 1, 0, 0, 0, 1, 0, 0 ]
[ "-", "Consult", "rheumato", "suggest", "ให้", "prednisolone", "+", "immunosupressive", "ตาม", "nephro" ]
[ 0, 1, 2, 0, 0, 1, 0, 1, 0, 0 ]
[ "-", "เรื่อง", "บวม", "หลัง", "ได้", "Furosemide", "iv", "ยุบ", "บวม", "ดี", "U", "/S", " ", "bedside", " ", "ascites", " ", "ลดลง", ",", "CXR", " ", "Pleural", " ", "effusion", " ", "ลดลง" ]
[ 0, 0, 1, 0, 0, 1, 0, 0, 0, 0, 1, 2, 2, 2, 2, 2, 2, 2, 0, 1, 2, 2, 2, 2, 2, 2 ]
[ "Drug-indcued", "hepatitis", "(", "Azathioprine", ")" ]
[ 1, 2, 0, 1, 0 ]
[ "-", "1", "mo", "PTA", "ไป", "รับ", "ยา", "SLE", "ที่", "clinic", "work", "up", "lab", "CBC", ",", "Cr", "LFT", "อยู่ในเกณฑ์", "ปกติ", "ได้", "ยา", "Azathioprine", "+", "Prednisolone" ]
[ 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 1, 0, 1, 1, 0, 0, 0, 0, 1, 0, 1 ]
[ "-", "3", "days", "PTA", "ตัว", "ตาเหลือง", "LFT", "Total", "Bilirubin", "8.23", "mg/dl" ]
[ 0, 0, 0, 0, 1, 2, 1, 1, 2, 0, 0 ]
[ "Direct", "Bilirubin", "8.02", "mg/dl" ]
[ 1, 2, 0, 0 ]
[ "AST", "(SGOT)", "188", "U/L" ]
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[ "ALT", "(SGPT)", "349", "U/L" ]
[ 1, 2, 0, 0 ]
[ "Alkaline", "(ALP", ")", "727", "U/L" ]
[ 1, 2, 0, 0, 0 ]
[ "-", "U/S", "upper", "abdomen", "-", "Three", "well-defined", "hyperecchoic", "lesions", "at", "both", "hepatic", "lobes,", "possible", "hepatic", "hemangioma", "or", "hepatic", "adenoma" ]
[ 0, 1, 2, 2, 0, 1, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2 ]
[ "-", "Diffused", "thicked", "wall", "with", "multiple", "gallstones", "and", "negative", "Sonographic", "murphy's", "sign" ]
[ 0, 1, 2, 2, 2, 2, 2, 0, 1, 2, 2, 2 ]
[ "-", "Mild", "prominent", "of", "left", "IHD" ]
[ 0, 1, 2, 2, 2, 2 ]
[ "-", "A", "0.4-cm", "calcifed", "granuloma", "in", "left", "lobe" ]
[ 0, 0, 0, 1, 2, 2, 2, 2 ]
[ "-", "Consult", "GI", ":", "คิดถึง", "Drug-induced", "hepatitis", "เนื่องจาก", "มีประวัติ", "jaudice", "หลัง", "restart", "Azathioprine", "ซึ่ง", "ทำให้", "เก", "ิ", "idosyncratic", " ", "cholestatic", " ", "reaction", "ได้", "ภายใน", "12", "wks", "แรก" ]
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[ "สำหรับ", "Autoimmune", "hepatitis", "คิดถึง", "น้อย", "เพราะ", "มัก", "มี", "AST", ",", "ALT", "สูง", "ไม่", "ควร", "มี", "ALP", ",", "GGt", "สูง", "และ", "จาก", "ผล", "U/S", "Prominent", "Lt", "intrahepatic", "duct", "+", "3", "hyperecchoic", "lesions" ]
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[ "at", "liver", "->", "จึง", "ส่ง", "MRI/MRCP", "abdomen" ]
[ 0, 0, 0, 0, 0, 1, 2 ]
[ "นัด", "F/U", "มา", "ฟัง", "ผล", "MRI/MRCP", "+", "F/U", "LFT", "เรื่อง", "drug-induced", "hepatitis", "หลัง", "หยุด", "Azathioprine", "(", "หยุด", "เมื่อ", "24/6/63)", "21/7/63" ]
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[ "-", "ก่อน", "D/C", "1/7/63", "Total", "Bilirubin", "8.29", "mg/dl" ]
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[ "Direct", "Bilirubin", "8.11", "mg/dl" ]
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[ "AST", "(SGOT)", "123", "U/L" ]
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[ "ALT", "(SGPT)", "323", "U/L" ]
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[ "Alkaline", "(ALP)", "698", "U/L" ]
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[ "Secondary", "amenorrhea" ]
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[ "-", "มี", "ประ", "วัต", "ิ", "ประจำเดือน", "ไม่", "มา", " ", "1", " ", "ปี", ",", "UPT", "negative" ]
[ 0, 0, 0, 0, 1, 2, 2, 2, 2, 2, 2, 2, 0, 1, 2 ]
[ "-", "consult", "Gyne", "PV", "ปกติ", ",", "TVS", "uterus", "3.88x2.43x3.58", "cm,", "ET", "2.2", "mm,", "both", "ovaries", "not", "visible", ",", "+", "free", "fluid", "in", "CDS" ]
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[ "-", "PAP", "smear", "-", "pending" ]
[ 0, 1, 2, 0, 0 ]
[ "-", "FSH", "61.70", "mIU/ml", "(high)" ]
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[ "E2", "(Estradiol)", "55.7", "pg/ml" ]
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[ "Prolactin", "11.80", "ng/ml" ]
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[ "-", "คิดถึง", "Secondary", "amenorrhea", "R/O", "POT" ]
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[ "-", "Plan", "F/U", "FSH,", "E2", "1", "mo", "at", "Gyne", "endocrine", "clinic" ]
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[ "Anemia", "of", "chronic", "disease" ]
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[ "-", "แร", "กรับ", "พบ", "Hct", "47", "(", "จาก", "clinic)", "->", "35.8", ",", "no", "Hx", "of", "blood", "loss" ]
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[ "-", "PBS", ":", "normochromic,", "normocytic" ]
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[ "-", "คิดถึง", "จาก", "Anemia", "of", "chronic", "disease" ]
[ 0, 0, 0, 1, 2, 2, 2 ]
[ "Hypertriglyceridemia" ]
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[ "-", "Cholesterol", "594", "mg/dl" ]
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[ "Triglyceride", "1025", "mg/dl" ]
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[ "HDL-CHOL", "28", "mg/dl" ]
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[ "Direct", "LDL-CHOL", "145", "mg/dl" ]
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[ "-", "ปฏิเสธ", "ประวัติ", "Hyperlipidemia", ",", "Heart", "disease", "ของ", "คนใน", "ครอบครัว" ]
[ 0, 0, 0, 1, 0, 1, 2, 0, 0, 0 ]
[ "-", "Start", "Fenofibrate", "200", "mg/day" ]
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[ "-", "F/U", "OPD", "2", "mo" ]
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[ "Vitamin", "D", "deficiency", "with", "Hypophosphatemia" ]
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[ "-", "มี", "hypophosphatemia", "+", "Vitamin", "D", "(25OH", "D)", "4.97", "ng/ml" ]
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[ "-", "ให้", "VitD", "supplement", "เป็น", "VitaminD2", "(20000)", "1", "cap", "po", "q", "จันทร์", ",", "พฤหัส" ]
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[ "Double", "lumen", "insertion", "at", "Rt.", "IJV", "at", "29/6/63" ]
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[ "Stell", "cell", "harvest", "39/6/63", "+", "2/7/63" ]
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[ "infectious", "diarrhea", "with", "septic", "shock" ]
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[ "แร", "กรับ", "มีปัญหา", "หายใจ", "เหนื่อย", "BP", "drop", "HR", "sinus", "tachycardia" ]
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[ "-->", "levophed", "(4:250)", "30", "bpm" ]
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[ "30", "min", "ต่อมา", "notify", "cardiac", "arrest", "คุย", "ญาต", "accept", "no", "cpr", "ar", "13.36", "น" ]
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[ "admit", "28-30/6/63", "for" ]
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[ "FOLFOX", "C6D1", "29/6/63" ]
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[ "no", "immediate", "complication" ]
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[ "s/p", "A", "port", "insertion", "rt", "IJV", "30/6/63;", "no", "immediate", "complication" ]
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[ "consult", "HepatoSx", "+", "Colorectal", "Sx", "ถึง", "role", "of", "surgery" ]
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[ "ทาง", "Sx", "ประเมิน", "แล้ว", "liver", "mass", "resectable", "->", "จะ", "surgery", "แต่", "hepato,", "colo", "ทำ", "คนละ", "setting", "โดย", "จะ", "ทำ", "liver", "mass", "resection", "ก่อน", "(", "ทำ", "หลัง", "FOLFOX", "C6", ")", "(", "สอง", "ทีม", "ได้", "plan", "ร่วมกัน", "แล้ว", ")" ]
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[ "ทาง", "oncomed", "plan", "เลื่อน", "FOLFOX", "C7", "ออก", "ไป", "ก่อน", "โดย", "plan", "liver", "resection", "->", "Chemotherapy", "->", "colorectal", "Sx" ]
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[ "ทำ", "TACE", "29/6/63", "(15.15)", "หลัง", "ทำ", "มี", "ไข้", "สูง", "1", "peak", "38.8", "ช่วง", "22.00", "น.", "ไม่", "มี", " ", "specific", " ", "source" ]
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[ "จากนั้น", "ช่วง", "เช้า", "ไข้", "เริ่ม", "ลง", "ไม่", "มี", "อาการ", "ปวดท้อง", "หรือ", "specific", "organ", "symptom" ]
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[ "Advanced", "stage", "CA", "stomach", "with", "carcinomatosis", "peritoneii" ]
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[ "Start", "FOLFOX", "C1,", "D1", "=", "29/6/63" ]
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[ "no", "complication" ]
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[ "Advanced", "stage", "colonic", "cancer", "with", "peritoneal", "metastasis" ]
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[ "Start", "FOLFOX", "C1,", "D1", "=", "29/6/63" ]
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[ "no", "complication" ]
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[ "Hiccup", ";", "ขณะ", "admit", "complaint", "สะอึก", "หลัง", "ทานข้าว", ",", "Hx", "สะอึก", "เป็นช่วงๆ", "ที่", "บ้าน", "on", "baclofen", "(10)", "1", "tab", "po", "prn", "q", "8", "hr", "for", "hiccup" ]
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[ "Restart", " ", "ยา", "เดิม", "->", "not", "improved" ]
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[ "Add", "Metoclopamide", "10", "mg", "IV", "prn", "q", "8", "hr", "for", "hiccup", "->", "improved" ]
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[ "work", "up", "Electrolyte", "->", "Na", "141" ]
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[ "น่าจะ", "hiccup", "from", "GI", "cause", ",", "plan", "supportive", "Rx" ]
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[ "Advanced", "stage", "CA", "stomach" ]
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[ "Start", "FOLFOX", "C1,", "D1", "=", "29/6/63" ]
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[ "no", "complication" ]
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[ "consult", "Sx", "for", "Port", "A", "cath", "->", "นัด", "set", "OR", "13/7/63" ]
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[ "Myasthenia", "gravis", "with", "Thymoma" ]
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[ "-", "dx", "ปี", "2557", "รักษา", "-->", "หยุด", "ยา", "ไป", "ปี", "59" ]
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[ "-", "Muscle", "biopsy", "(28/12/56):", "unremarkable", "muscle", "fiber" ]
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[ "-", "EMG", "(13/2/62):", "myopathic", "units", "in", "the", "cervical", "paraspinal", "muscle", "and", "deltoid" ]
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[ "-", "AChR", "antibody:", "positive" ]
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[ "-", "CT-guided", "core", "biopsy", "anterior", "mediastinal", "mass", "(28/11/56):", "thymoma,", "type", "B2" ]
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[ "-", "S/P", "VAT", "thymectomy", ":", "involuting", "thymic", "tissue" ]
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[ "-", "F/U", "CT", "chest", "(9/3/63):", "calcified", "anterior", "mediastinal", "mas", "s", "5.9", "x", "2.8", "x", "10.7", "cm" ]
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[ "-", "S/P", "transternal", "thymectomy", "with", "wedge", "resection", "of", "lingular", "segment", "(11/7/62)" ]
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[ "last", "admit", "23/5/63", "-", "30/5/63" ]
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[ "#", "Pulmonary", "nocardiasis" ]
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[ "Sputum", "G/S", ":", "Gram", "positive", "filamentous", "branching", "wiht", "mAFB+ve" ]
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[ "C/S:", "Nocardia", "spp." ]
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[ "ช่วงแรก", "ก่อน", "ได้", "CT", "brain", ":", "empiric", "Bactrim", ",", "Imipenem", "due", "to", "immunocompromised", "host", "และ", "hold", "Azathioprine" ]
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[ "หลัง", "CT", "brain", "ไม่", "มี", " ", "brain", " ", "abscess", "และ", "ไม่", "มี", " ", "sign", " ", "disseminated", " ", "nocardiasis", "จึง", "ลด", " ", "ATB", "เป็น", "Bactrim", "(400/80)", "2", "tab", "o", "q", "8", "hr" ]
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